Cardiomegaly history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor in Chief: Cafer Zorkun, M.D., Ph.D. [2]

## Overview

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The symptoms of cardiomegaly may vary depending on the underlying cause and common symptoms include dyspnea and fatigue. A careful history is important to ascertain the underlying cause of cardiomegaly. The patient should be asked if there is a history of hypertension, rheumatic heart disease that would cause valvular heart disease, congenital heart disease, alcohol abuse, or a history of symptoms suggesting ischemic heart disease.

## Symptoms

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Depending upon the underlying cause of cardiomegaly, the following symptoms may be present:

* Cough
* Dizziness
* Dyspnea
* Fatigue
* Palpitations
* Pedal edema
* Syncope

## History

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In the patient with cardiomegaly, the patient should be asked if there is a history of the following:

* Hypertension
* Rheumatic fever or known valvular heart disease
* Alcohol abuse or recreational drug use such as cocaine
* Chest pain to suggest ischemic heart disease
* Congenital heart disease

## References

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