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Left ventricular aneurysm history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

The symptoms of the aneurysm depend on it’s size. Small and medium-sized aneurysms are usually asymptomatic, but large-sized aneurysms may present as persistent chest pain and dyspnea, despite the proper treatment of the underlying cardiac condition.

History

A detailed history of cardiovascular risk factors, and a history of the underlying cardiac disease (MI, HCM or DCM) must be obtain.

Symptoms

Depending on the size of the aneurysm, the symptoms may vary.[1]

  • Small and medium-sized aneurysms may only present with angina.
  • Large aneurysms usually present with persistent chest pain and dyspnea despite the treatment of the underlying cardiac event.[2]

References

  1. Mann, Douglas (2015). Braunwald’s heart disease : a textbook of cardiovascular medicine. Philadelphia, PA: Elsevier/Saunders. ISBN 978-1455751341.
  2. Mourdjinis A, Olsen E, Raphael MJ, Mounsey JP (1968). “Clinical diagnosis and prognosis of ventricular aneurysm”. Br Heart J. 30 (4): 497–513. PMC 487659. PMID 5659397.


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