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Normal

Mitral regurg Mitral Stenosis L Myxoma

A Is the Left Atrium Enlarged?

If yes, then

Look at the Pulmonary Vasculature

Pulmonary venous hypertension

If no, then

Increased

VSD, PDA

B Is the Main Pulmonary Artery Big or Bulbous?

If yes, then Look at the Pulmonary Vasculature

Normal

Pulm. stenosis ASD (VSD)

Increased

If no, then

Pulmonary hypertension Normal Don't Look at Pulmonary Vasculature. Look at Aorta Ascending dilated Whole Ao Dilated

Idiopathic (1)
Cardiomyopathy

C Is the Main Pulmonary Artery Segment Concave?

If yes, then

Ao Stenosis Ao regurg HBP

If no, then

D Is the Heart Dilated or DeltaShaped?

If yes, then

Cardiomyopathy Pericardial Effusion Mult. valve dz

Copyright 2000 William Herring, MD

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