Abnormal Chest X-Ray and ECG Results in Cardiovascular Health - Cardiology

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Abnormalities in X-ray and electrocardiogram (ECG) findings?


Doctor: Hello, I recently had a physical examination.
My height is 168 cm, and my weight is 91.9 kg.
The results of the examination showed two abnormalities: an abnormal chest X-ray indicating "aortic sclerosis shadow" and an abnormal electrocardiogram showing "low voltage." What do these mean?

Xiao Ying, 30~39 year old female. Ask Date: 2020/04/13

Dr. Wu Xueming reply Cardiology


Chest X-ray showing aortic arteriosclerosis: This refers to the thickening and calcification of arterial walls, which is a phenomenon associated with aging.
However, factors such as smoking, hypertension, hyperlipidemia, diabetes, and obesity can accelerate this process.
The danger lies in the potential for increased blood pressure to lead to aortic dissection or aneurysm.
Therefore, it is essential to control blood pressure and other potential risk factors, as well as to monitor the condition.
Additionally, atherosclerosis may also occur in the coronary arteries, carotid arteries, and renal arteries, leading to various complications.
It is recommended to consult a cardiologist for analysis and strict control of various atherosclerotic risk factors.
Low voltage on electrocardiogram (ECG): An ECG can be divided into limb leads and chest leads.
In the recorded patterns, the QRS wave's amplitude represents the voltage level.
If the height of the QRS wave in the limb leads is less than 5 small boxes (i.e., less than 0.5 mV), and if the height of the QRS wave in the chest leads is less than 10 small boxes (i.e., less than 1 mV), this is classified as low voltage in limb/chest leads.
Common causes of low voltage in limb/chest leads include: 1.
End-stage various heart diseases 2.
Hypothyroidism 3.
Pericardial effusion 4.
Obesity 5.
Pneumothorax 6.
Chronic obstructive pulmonary disease 7.
Normal variant.
If there are no other concerning symptoms, continued observation is recommended.

Reply Date: 2020/04/13

More Info


Understanding abnormal chest X-ray and ECG results is crucial for assessing cardiovascular health. In your case, the findings of "aortic sclerosis shadow" on the chest X-ray and "low voltage" on the ECG can provide insights into your cardiovascular condition.


Chest X-ray Findings: Aortic Sclerosis Shadow
The term "aortic sclerosis" refers to the thickening and calcification of the aortic valve or the aorta itself. This condition is often associated with aging and can be a sign of underlying cardiovascular disease. The presence of an aortic sclerosis shadow on a chest X-ray suggests that there may be some degree of aortic stenosis or aortic regurgitation, which can lead to increased pressure in the heart and potentially result in heart failure if left untreated.

Aortic sclerosis is often asymptomatic in its early stages, but it can progress to more serious conditions. Risk factors include hypertension, hyperlipidemia, diabetes, and a family history of cardiovascular disease. Given your height and weight, it may also be beneficial to consider lifestyle modifications such as diet and exercise to manage your overall cardiovascular risk.


ECG Findings: Low Voltage
Low voltage on an ECG indicates that the electrical activity of the heart is not as strong as it should be. This can be due to several factors, including:
1. Obesity: Increased body mass can attenuate the electrical signals from the heart, leading to lower voltage readings.

2. Pericardial Effusion: Fluid accumulation around the heart can dampen the electrical signals, resulting in low voltage.

3. Chronic Lung Disease: Conditions like COPD can also affect the heart's electrical activity.

4. Myocardial Infarction: Previous heart attacks can lead to scarring of the heart tissue, which may also result in low voltage.

Low voltage is not a diagnosis in itself but rather a sign that warrants further investigation. It is essential to correlate these findings with clinical symptoms, history, and possibly further testing, such as echocardiography, to assess heart function and structure.


Implications for Cardiovascular Health
Both findings suggest that there may be underlying cardiovascular issues that need to be addressed. Aortic sclerosis can lead to significant heart problems if it progresses, while low voltage can indicate potential heart dysfunction or other systemic issues.

Given your weight, it may be beneficial to discuss with your healthcare provider about lifestyle changes, including dietary adjustments and physical activity, to help manage your cardiovascular risk factors. Regular follow-ups and monitoring of your cardiovascular health are essential, especially considering the potential implications of these findings.


Conclusion
In summary, the abnormal findings on your chest X-ray and ECG indicate that there may be underlying cardiovascular issues that require further evaluation and management. It is crucial to have a thorough discussion with your healthcare provider to understand the implications of these findings and to develop a comprehensive plan for your cardiovascular health. Regular monitoring and proactive management of risk factors can significantly improve outcomes and overall heart health.

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