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Pacific Cardiology and Specialist Centre is a multidisciplinary team of specialists who provide a range of specialist health care services across South East Queensland and Northern New South Wales.

LOCATIONS

ORMEAU
Suite 2
7 Eggersdorf Road
ORMEAU QLD 4208

HOPE ISLAND
Hope Island Market Place
Level 1, Suite 3
99-103 Broadwater Avenue
Hope Island QLD 4212

YARRABILBA
Suite 1
36 Yarrabilba Drive
YARRABILBA QLD 4207

ROBINA
The Rocket Building
Level 6
203 Robina Town Centre Drive
ROBINA QLD 4226

MURWILLUMBAH
Suite 9
41 Commercial Road
MURWILLUMBAH NSW 2484

Introduction to Cardiac Investigation

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Introduction to Cardiac Investigation

Author: Prof Rohan Jayasinghe

Indications for resting cardiac echo (ECHOCARDIOGRAPHY):

Chest pain – to look for any regional wall motion abnormalities in the left ventricle / rule out severe aortic stenosis.

Pleuritic chest pain – to rule out any pericardial thickening / pericardial effusion.

Shortness of breath  to look at the left ventricular function;  systolic or diastolic dysfunction.

Ankle oedema  – to look at the left ventricular and right ventricular function.

Hypertension – To look for left ventricular hypertrophy / diastolic dysfunction / evolving left ventricular failure.

Atrial fibrillation – to look for mitral valve disease / size of the left atrium / left atrial thrombus.

Lethargy / fatigue – to look for heart failure / valve pathology.

Hypotension – to look for left ventricular dysfunction.

Chronic asthma – to look for right ventricular dysfunction (corpulmonale) / tricuspid regurgitation / pulmonary hypertnesion.

Palpitations – to look for anatomical cardiac abnormality / tachycardia induced cardiomyopathy / Mitral prolapse.

Syncope / dizziness / light headedness – LV dysfunction / aortic stenosis / HOCM.

Stroke / TIA – LV thrombus / aortic stenosis / Patent foramen ovale.

Unexplained fever – valvular vegetations of infective endocarditis.

Unexplained weight loss – valvular vegetations of infective endocarditis.

Emphysema – to look for right ventricular dysfunction (corpulmonale) / tricuspid regurgitation / pulmonary hypertnesion.

History of thyroid disease – to looks for LV dysfunction / left atrial enlargement with paroxysmal AF / pericardial effusion.

Anti-depressant / anti-psychotics use – To look for cardiomyopathy.

Suspected cardiac murmur – to look for valve pathology, HOCM, VSD.

History of heart disease.

History of rheumatic fever.

History of cardiac valve disease / valve surgery.