Atrial fibrillation chest x ray: Difference between revisions
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| [[Atrial fibrillation resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']] | |||
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| <small>Sinus rhythm</small> [[Image:Heart conduct sinus.gif|none|75px]] | |||
| <small>Atrial fibrillation</small> [[Image:Heart conduct atrialfib.gif|none|100px]] | |||
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{{Template:Atrial fibrillation}} | {{Template:Atrial fibrillation}} | ||
{{CMG}} | {{CMG}} {{AE}} {{Anahita}} | ||
==Overview== | |||
A [[chest-x-ray]] is not usually used a s the main [[diagnosis|diagnostic tool]] for [[atrial fibrillation]]; nevertheless, it could be abnormal when conditions such as [[lung|pulmonary]] [[diseases]] or [[heart failure]] is the [[etiology]] of [[atrial fibrillation]]. | |||
==Chest X ray== | ==Chest X ray== | ||
*A [[chest x-ray]] is generally performed if a [[lung|pulmonary]] cause of [[atrial fibrillation]] or [[heart failure]] is suggested. This may reveal an underlying problem in the [[lungs]], the [[blood vessels]] in the [[chest]], and the size of the [[heart]]. | |||
* | *In particular, if an underlying [[pneumonia]] is suggested, then [[treatment]] of the [[pneumonia]] may cause the [[atrial fibrillation]], hence it is important to perform a [[chest x-ray]] when such a condition is suspected. | ||
* The | *[[Chest x-ray]] is helpful in demonstarting both [[lung]] [[parenchyma]] and [[lung|pulmonary]] [[Circulatory system|vasculature]].<ref name="pmid3157309">{{cite journal| author=Rajala SA, Geiger UK, Haavisto MV, Kaltiala KS, Mattila KJ| title=Electrocardiogram, clinical findings and chest x-ray in persons aged 85 years or older. | journal=Am J Cardiol | year= 1985 | volume= 55 | issue= 9 | pages= 1175-8 | pmid=3157309 | doi=10.1016/0002-9149(85)90658-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3157309 }} </ref> | ||
*If [[heart failure]] is suspected as the [[etiology]] of [[atrial fibrillation]], then [[chest x-ray]] findings could be helpful. Nevertheless, an abnormal [[chest X-ray]] only has 57% [[Sensitivity (tests)|sensitivity]], and 83% [[negative predictive value]] for [[heart failure]]. Therefore [[chest x-ray]] findings should be confirmed with other [[diagnosis|siagnostic tool]] as well. <ref name="pmid15542421">{{cite journal| author=Fonseca C, Mota T, Morais H, Matias F, Costa C, Oliveira AG | display-authors=etal| title=The value of the electrocardiogram and chest X-ray for confirming or refuting a suspected diagnosis of heart failure in the community. | journal=Eur J Heart Fail | year= 2004 | volume= 6 | issue= 6 | pages= 807-12, 821-2 | pmid=15542421 | doi=10.1016/j.ejheart.2004.09.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15542421 }} </ref> | |||
*The following are some findings that can be reported in [[chest x-ray]], if [[heart failure]] is the [[etiology]] of [[atrial fibrillation]]:<ref name="pmid15542421">{{cite journal| author=Fonseca C, Mota T, Morais H, Matias F, Costa C, Oliveira AG | display-authors=etal| title=The value of the electrocardiogram and chest X-ray for confirming or refuting a suspected diagnosis of heart failure in the community. | journal=Eur J Heart Fail | year= 2004 | volume= 6 | issue= 6 | pages= 807-12, 821-2 | pmid=15542421 | doi=10.1016/j.ejheart.2004.09.004 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15542421 }} </ref><ref name="pmid3160222">{{cite journal| author=Höglund C, Rosenhamer G| title=Echocardiographic left atrial dimension as a predictor of maintaining sinus rhythm after conversion of atrial fibrillation. | journal=Acta Med Scand | year= 1985 | volume= 217 | issue= 4 | pages= 411-5 | pmid=3160222 | doi=10.1111/j.0954-6820.1985.tb02716.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3160222 }} </ref> | |||
**Redistribution in flow of upper zone of the [[lung]] | |||
**[[Lung]] [[interstitial]] [[edema]] | |||
**Bilateral [[pleural effusion]] | |||
**[[Cardiomegaly]] | |||
==References== | ==References== | ||
{{reflist}} | {{reflist|2}} | ||
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[[CME Category::Cardiology]] | |||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Up-To-Date cardiology]] | |||
[[Category:Arrhythmia]] | |||
[[Category:Electrophysiology]] | [[Category:Electrophysiology]] | ||
[[Category:Disease]] | |||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Latest revision as of 07:35, 19 October 2021
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Resident Survival Guide |
| File:Critical Pathways.gif |
Sinus rhythm  |
Atrial fibrillation  |
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Atrial Fibrillation Microchapters | |
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Special Groups | |
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Diagnosis | |
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Treatment | |
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Cardioversion | |
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Anticoagulation | |
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Surgery | |
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Atrial fibrillation chest x ray On the Web | |
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Directions to Hospitals Treating Atrial fibrillation chest x ray | |
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Risk calculators and risk factors for Atrial fibrillation chest x ray | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
A chest-x-ray is not usually used a s the main diagnostic tool for atrial fibrillation; nevertheless, it could be abnormal when conditions such as pulmonary diseases or heart failure is the etiology of atrial fibrillation.
Chest X ray
- A chest x-ray is generally performed if a pulmonary cause of atrial fibrillation or heart failure is suggested. This may reveal an underlying problem in the lungs, the blood vessels in the chest, and the size of the heart.
- In particular, if an underlying pneumonia is suggested, then treatment of the pneumonia may cause the atrial fibrillation, hence it is important to perform a chest x-ray when such a condition is suspected.
- Chest x-ray is helpful in demonstarting both lung parenchyma and pulmonary vasculature.[1]
- If heart failure is suspected as the etiology of atrial fibrillation, then chest x-ray findings could be helpful. Nevertheless, an abnormal chest X-ray only has 57% sensitivity, and 83% negative predictive value for heart failure. Therefore chest x-ray findings should be confirmed with other siagnostic tool as well. [2]
- The following are some findings that can be reported in chest x-ray, if heart failure is the etiology of atrial fibrillation:[2][3]
- Redistribution in flow of upper zone of the lung
- Lung interstitial edema
- Bilateral pleural effusion
- Cardiomegaly
References
- ↑ Rajala SA, Geiger UK, Haavisto MV, Kaltiala KS, Mattila KJ (1985). "Electrocardiogram, clinical findings and chest x-ray in persons aged 85 years or older". Am J Cardiol. 55 (9): 1175–8. doi:10.1016/0002-9149(85)90658-7. PMID 3157309.
- ↑ 2.0 2.1 Fonseca C, Mota T, Morais H, Matias F, Costa C, Oliveira AG; et al. (2004). "The value of the electrocardiogram and chest X-ray for confirming or refuting a suspected diagnosis of heart failure in the community". Eur J Heart Fail. 6 (6): 807–12, 821–2. doi:10.1016/j.ejheart.2004.09.004. PMID 15542421.
- ↑ Höglund C, Rosenhamer G (1985). "Echocardiographic left atrial dimension as a predictor of maintaining sinus rhythm after conversion of atrial fibrillation". Acta Med Scand. 217 (4): 411–5. doi:10.1111/j.0954-6820.1985.tb02716.x. PMID 3160222.