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ARTICLE |

Heart Size in Pulmonary Emphysema FREE

Oreste Baratto, MD; Gerald E. Muehsam, MD
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JAMA. 1968;203(4):293-295. doi:10.1001/jama.1968.03140040045014
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There is a well known clinical impression that the heart appears small on chest roentgenograms of persons with pulmonary emphysema. The cardiac measurements from chest x-ray films as well as the cardiac weight at autopsy of patients with uncomplicated emphysema were compared with the roentgenographic measurements of the hearts of normal controls and the heart weights of another group of control patients without emphysema. It was found that the heart weights of nondebilitated patients dying with emphysema were similar to those of nonemphysematous, nondebilitated controls. The transverse cardiac measurements in the group with emphysema, however, were significantly smaller than those of the controls.

REFERENCES

Kountz, W.B.; Alexander, H.L.; and Dowell, D.:  Emphysema Simulating Cardiac Decompensation , JAMA 93:1369-1371 ( (Nov 2) ) 1929;.
Parkinson, J., and Hoyle, C.:  The Heart in Emphysema , Quart J Med 6:59-86 ( (Jan) ) 1937;.
Parker, R.L.:  Pulmonary Emphysema: A Study of Its Relation to the Heart and Pulmonary Arterial System , Ann Intern Med 14:795-809 ( (Nov) ) 1940;.
De Lorimier, A.A.; Moehring, H.G.; and Hannan, J.R.: Clinical Roentgenology , Springfield, Ill: Charles C Thomas, Publisher, 1955;, vol 3.
Paul, L.W., and Juhl, J.H.: The Essentials of Roentgen Interpretation , New York: Paul B. Hoeber, Inc., 1959;.
Schwedel, J.B.: " Clinical Roentgenology of the Heart ," in Annals of Roentgenology , New York: Paul B. Hoeber, Inc., 1950;, vol 18.
Zdansky, E.: Roentgen Diagnosis of the Heart and Great Vessels , New York: Grune & Stratton, Inc., 1953;.
Rabin, C.B.: X-Ray Diagnosis of Chest Diseases , Baltimore: Williams & Wilkins Co., 1952;.
Rubin, E.H.: Diseases of the Chest . Philadelphia: W. B. Saunders Co., 1947;.
Baum, G.L.: Textbook of Pulmonary Diseases , Boston: Little, Brown & Co., 1965;.
Reiner, L., et al:  The Weight of the Human Heart , Arch Path 68:58-73 ( (July) ) 1959;.
Fluck, D.C.; Chandrasekar, R.G.; and Gardner, F.V.:  Left Ventricular Hypertrophy in Chronic Bronchitis , Brit Heart J 28: 92-97 ( (Jan) ) 1966;.
Nakhjavan, F.K.; Palmer, W.H.; and McGregor, M.:  Influence of Respiration on Venous Return in Pulmonary Emphysema , Circulation 33:8-16 ( (Jan) ) 1966;.
Evans, T.O.; Van Der Reis, L.; and Selzer, A.:  Circulatory Effects of Chronic Pulmonary Emphysema , Amer Heart J 66:741-747 ( (Dec) ) 1963;.
Alexander, H.L.; Luten, D.; and Kountz, W.B.:  The Effects on the Heart of Long-Standing Bronchial Asthma , JAMA 88:882-885 ( (March 19) ) 1927;.
Palmieri, G.C.:  Morphology of the Heart in Emphysema , Bull Della Soc Medica Chirurgica Di Bologna 130:185-189 ( (April) -June) 1958;.

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Kountz, W.B.; Alexander, H.L.; and Dowell, D.:  Emphysema Simulating Cardiac Decompensation , JAMA 93:1369-1371 ( (Nov 2) ) 1929;.
Parkinson, J., and Hoyle, C.:  The Heart in Emphysema , Quart J Med 6:59-86 ( (Jan) ) 1937;.
Parker, R.L.:  Pulmonary Emphysema: A Study of Its Relation to the Heart and Pulmonary Arterial System , Ann Intern Med 14:795-809 ( (Nov) ) 1940;.
De Lorimier, A.A.; Moehring, H.G.; and Hannan, J.R.: Clinical Roentgenology , Springfield, Ill: Charles C Thomas, Publisher, 1955;, vol 3.
Paul, L.W., and Juhl, J.H.: The Essentials of Roentgen Interpretation , New York: Paul B. Hoeber, Inc., 1959;.
Schwedel, J.B.: " Clinical Roentgenology of the Heart ," in Annals of Roentgenology , New York: Paul B. Hoeber, Inc., 1950;, vol 18.
Zdansky, E.: Roentgen Diagnosis of the Heart and Great Vessels , New York: Grune & Stratton, Inc., 1953;.
Rabin, C.B.: X-Ray Diagnosis of Chest Diseases , Baltimore: Williams & Wilkins Co., 1952;.
Rubin, E.H.: Diseases of the Chest . Philadelphia: W. B. Saunders Co., 1947;.
Baum, G.L.: Textbook of Pulmonary Diseases , Boston: Little, Brown & Co., 1965;.
Reiner, L., et al:  The Weight of the Human Heart , Arch Path 68:58-73 ( (July) ) 1959;.
Fluck, D.C.; Chandrasekar, R.G.; and Gardner, F.V.:  Left Ventricular Hypertrophy in Chronic Bronchitis , Brit Heart J 28: 92-97 ( (Jan) ) 1966;.
Nakhjavan, F.K.; Palmer, W.H.; and McGregor, M.:  Influence of Respiration on Venous Return in Pulmonary Emphysema , Circulation 33:8-16 ( (Jan) ) 1966;.
Evans, T.O.; Van Der Reis, L.; and Selzer, A.:  Circulatory Effects of Chronic Pulmonary Emphysema , Amer Heart J 66:741-747 ( (Dec) ) 1963;.
Alexander, H.L.; Luten, D.; and Kountz, W.B.:  The Effects on the Heart of Long-Standing Bronchial Asthma , JAMA 88:882-885 ( (March 19) ) 1927;.
Palmieri, G.C.:  Morphology of the Heart in Emphysema , Bull Della Soc Medica Chirurgica Di Bologna 130:185-189 ( (April) -June) 1958;.
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