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Questions and Answers
What is the primary method of radial examination of the heart and thoracic aorta?
What is the primary method of radial examination of the heart and thoracic aorta?
What is the purpose of using X-rays in non-standard optimal projections?
What is the purpose of using X-rays in non-standard optimal projections?
What is the advantage of native X-ray examination of the thoracic aorta?
What is the advantage of native X-ray examination of the thoracic aorta?
What is the diagnostic value of previously used radiographic techniques?
What is the diagnostic value of previously used radiographic techniques?
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What is the role of fluoroscopy in the X-ray method of radial examination?
What is the role of fluoroscopy in the X-ray method of radial examination?
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What is the primary advantage of the X-ray method in the study of the heart and thoracic aorta?
What is the primary advantage of the X-ray method in the study of the heart and thoracic aorta?
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What is the indication for implementing a study to clarify the details of the morphological state of the aorta?
What is the indication for implementing a study to clarify the details of the morphological state of the aorta?
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What is the distinctive feature of the cardiac shadow in a true radiographic study?
What is the distinctive feature of the cardiac shadow in a true radiographic study?
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Where does the left contour of the heart typically lie in relation to the median line?
Where does the left contour of the heart typically lie in relation to the median line?
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What is the ratio of the heights of the cardiac and vascular segments in a normal radiograph?
What is the ratio of the heights of the cardiac and vascular segments in a normal radiograph?
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How does the angle of inclination of the heart vary in different constitutional types?
How does the angle of inclination of the heart vary in different constitutional types?
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What is the effect of the breathing phase on the position of the heart?
What is the effect of the breathing phase on the position of the heart?
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What is the point of intersection of the arcs forming the right contour of the heart?
What is the point of intersection of the arcs forming the right contour of the heart?
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Which of the following can cause changes in the position of the heart?
Which of the following can cause changes in the position of the heart?
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What is the 'waist' of the heart formed by?
What is the 'waist' of the heart formed by?
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Which of the following is not a factor affecting the position of the heart?
Which of the following is not a factor affecting the position of the heart?
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What is the primary reason for the aorta's bending in the right pulmonary field?
What is the primary reason for the aorta's bending in the right pulmonary field?
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What is the effect of the unfolding of the aortic loop on the contour of the descending aorta?
What is the effect of the unfolding of the aortic loop on the contour of the descending aorta?
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What is the main reason for the increase in the intensity of the shadow on the radiograph?
What is the main reason for the increase in the intensity of the shadow on the radiograph?
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What is the normal cardio-thoracic coefficient (C/D x 100) for adults?
What is the normal cardio-thoracic coefficient (C/D x 100) for adults?
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What is the manifestation of the right atrial enlargement on the radiograph?
What is the manifestation of the right atrial enlargement on the radiograph?
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What is the point of intersection of the arcs of the heart called?
What is the point of intersection of the arcs of the heart called?
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What is the normal Goodwin coefficient for the right atrium?
What is the normal Goodwin coefficient for the right atrium?
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What is the effect of the right ventricular enlargement on the left ventricular arch?
What is the effect of the right ventricular enlargement on the left ventricular arch?
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Which part of the heart forms the posterior contour of the cardiovascular shadow in the left lateral projection?
Which part of the heart forms the posterior contour of the cardiovascular shadow in the left lateral projection?
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How many variants of the pathological form of the cardiovascular shadow are described in the text?
How many variants of the pathological form of the cardiovascular shadow are described in the text?
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What is the normal contact of the right ventricle with the anterior thoracic wall in the left lateral projection?
What is the normal contact of the right ventricle with the anterior thoracic wall in the left lateral projection?
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What is characteristic of the mitral configuration of the heart?
What is characteristic of the mitral configuration of the heart?
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What is the cause of the right atrium's upward movement on the radiograph?
What is the cause of the right atrium's upward movement on the radiograph?
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What is the characteristic feature of the aortic configuration of the heart?
What is the characteristic feature of the aortic configuration of the heart?
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Which condition is characterized by a globular shape of the heart?
Which condition is characterized by a globular shape of the heart?
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What is the characteristic feature of the trapezoidal (triangular) form of the heart?
What is the characteristic feature of the trapezoidal (triangular) form of the heart?
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What is the radiographic sign of aneurysms of the heart and aorta?
What is the radiographic sign of aneurysms of the heart and aorta?
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How is the lengthening of the aorta indicated in a radiograph?
How is the lengthening of the aorta indicated in a radiograph?
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What is the importance of understanding the radiographic features of the heart?
What is the importance of understanding the radiographic features of the heart?
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What is the primary indication for angiocardiography?
What is the primary indication for angiocardiography?
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In a direct projection, what is the effect of an increase in the left atrium on the heart contour?
In a direct projection, what is the effect of an increase in the left atrium on the heart contour?
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What is the normal position of the esophagus in relation to the spine in a left lateral projection?
What is the normal position of the esophagus in relation to the spine in a left lateral projection?
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What is the significance of the posterior cardio-diaphragmatic angle in the left lateral projection?
What is the significance of the posterior cardio-diaphragmatic angle in the left lateral projection?
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According to Moore's ratio, what is the normal size of the pulmonary artery relative to the transverse basal size of the chest?
According to Moore's ratio, what is the normal size of the pulmonary artery relative to the transverse basal size of the chest?
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What is the purpose of venous umbilical catheterization in angiocardiography?
What is the purpose of venous umbilical catheterization in angiocardiography?
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What is the effect of an increase in the left ventricle on the retrocardial space in the left lateral projection?
What is the effect of an increase in the left ventricle on the retrocardial space in the left lateral projection?
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What is the primary purpose of coronary angiography?
What is the primary purpose of coronary angiography?
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What is the significance of the pulmonary ligament in the left lateral projection?
What is the significance of the pulmonary ligament in the left lateral projection?
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What is the main limitation of aortography?
What is the main limitation of aortography?
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What is the method of contrasting the heart cavities in angiocardiography?
What is the method of contrasting the heart cavities in angiocardiography?
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What is the primary advantage of ultrasound in diagnosing heart disease?
What is the primary advantage of ultrasound in diagnosing heart disease?
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What is the primary intention of M-mode technique in echocardiography?
What is the primary intention of M-mode technique in echocardiography?
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What is the main advantage of Color Doppler Mapping (CDM) in echocardiography?
What is the main advantage of Color Doppler Mapping (CDM) in echocardiography?
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What is the purpose of puncturing the interatrial septum in angiocardiography?
What is the purpose of puncturing the interatrial septum in angiocardiography?
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What type of echocardiography is used to obtain images of all anatomical structures of the heart?
What type of echocardiography is used to obtain images of all anatomical structures of the heart?
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What is the main indication for ultrasound in diagnosing heart disease?
What is the main indication for ultrasound in diagnosing heart disease?
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What is the primary function of tissue dopplerography in cardiology?
What is the primary function of tissue dopplerography in cardiology?
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What is the purpose of intracardiac pressure measurement?
What is the purpose of intracardiac pressure measurement?
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What is the greatest clinical significance of Doppler echocardiography?
What is the greatest clinical significance of Doppler echocardiography?
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What is the advantage of selective coronary angiography compared to general thoracic aortography?
What is the advantage of selective coronary angiography compared to general thoracic aortography?
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What is the main goal of stress echocardiography?
What is the main goal of stress echocardiography?
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What is the significance of transesophageal ultrasound in cardiology?
What is the significance of transesophageal ultrasound in cardiology?
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What is the purpose of a complex ultrasound evaluation in diagnosing heart disease?
What is the purpose of a complex ultrasound evaluation in diagnosing heart disease?
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What is the main limitation of invasive techniques such as coronarography and aortography?
What is the main limitation of invasive techniques such as coronarography and aortography?
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What is the advantage of using intravascular catheterization with microsensors in echocardiography?
What is the advantage of using intravascular catheterization with microsensors in echocardiography?
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What is the purpose of suprasternal access in ultrasound evaluation of the heart?
What is the purpose of suprasternal access in ultrasound evaluation of the heart?
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What is the significance of spectral Doppler echocardiography in cardiology?
What is the significance of spectral Doppler echocardiography in cardiology?
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What is the primary use of Doppler spectrography in echocardiography?
What is the primary use of Doppler spectrography in echocardiography?
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What is the advantage of combining echocardiography with stress tests?
What is the advantage of combining echocardiography with stress tests?
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In native CT examination of the heart, what is the limitation in visualizing the heart chambers?
In native CT examination of the heart, what is the limitation in visualizing the heart chambers?
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What is the primary indication for performing native CT examination of the heart?
What is the primary indication for performing native CT examination of the heart?
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What can be determined using the software of modern computer tomographs in native CT examination of the heart?
What can be determined using the software of modern computer tomographs in native CT examination of the heart?
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What is the purpose of using native CT examination in the diagnosis of ischemic heart disease?
What is the purpose of using native CT examination in the diagnosis of ischemic heart disease?
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In which section is the aortic arch visible in native CT examination of the heart?
In which section is the aortic arch visible in native CT examination of the heart?
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What is the limitation of native CT examination of the heart in terms of informativeness?
What is the limitation of native CT examination of the heart in terms of informativeness?
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What is the primary purpose of injecting 100-150 ml of X-ray contrast preparations in CT angiocardiography?
What is the primary purpose of injecting 100-150 ml of X-ray contrast preparations in CT angiocardiography?
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What is the advantage of dynamic scanning over static scanning in CT angiocardiography?
What is the advantage of dynamic scanning over static scanning in CT angiocardiography?
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What is the limitation of MSCT and EBT coronarography?
What is the limitation of MSCT and EBT coronarography?
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What is the purpose of multiplanar reformation and three-dimensional transformation in CT angiocardiography?
What is the purpose of multiplanar reformation and three-dimensional transformation in CT angiocardiography?
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What is the advantage of CT angiocardiography over other imaging techniques?
What is the advantage of CT angiocardiography over other imaging techniques?
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What is the purpose of volumetric rendering (VRT) in CT angiocardiography?
What is the purpose of volumetric rendering (VRT) in CT angiocardiography?
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What is the role of ECG synchronization in CT angiocardiography?
What is the role of ECG synchronization in CT angiocardiography?
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What is the advantage of combining CT angiocardiography with functional examination of the heart?
What is the advantage of combining CT angiocardiography with functional examination of the heart?
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What is the purpose of virtual aortoscopy in CT angiocardiography?
What is the purpose of virtual aortoscopy in CT angiocardiography?
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What is the limitation of CT angiocardiography in assessing the coronary arteries?
What is the limitation of CT angiocardiography in assessing the coronary arteries?
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What is the primary advantage of MRI in the diagnosis of heart and aortic diseases?
What is the primary advantage of MRI in the diagnosis of heart and aortic diseases?
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What is the main purpose of perfusion scintigraphy of the myocardium?
What is the main purpose of perfusion scintigraphy of the myocardium?
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What is the significance of radionuclide equilibrium ventriculography (REVG) in the diagnosis of heart disease?
What is the significance of radionuclide equilibrium ventriculography (REVG) in the diagnosis of heart disease?
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What is the characteristic of diffuse violations of myocardial perfusion in perfusion scintigraphy?
What is the characteristic of diffuse violations of myocardial perfusion in perfusion scintigraphy?
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What is the advantage of PET over SPECT in studying the perfusion of the heart muscle?
What is the advantage of PET over SPECT in studying the perfusion of the heart muscle?
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What is the significance of 99mTc-pyrophosphate in scintigraphy of the focus of myocardial infarction?
What is the significance of 99mTc-pyrophosphate in scintigraphy of the focus of myocardial infarction?
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What is the primary advantage of radionuclide methods in diagnosing heart disease?
What is the primary advantage of radionuclide methods in diagnosing heart disease?
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What is the significance of physical or pharmacological stress in perfusion scintigraphy?
What is the significance of physical or pharmacological stress in perfusion scintigraphy?
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What is the primary indication for perfusion scintigraphy in the diagnosis of myocardial infarction?
What is the primary indication for perfusion scintigraphy in the diagnosis of myocardial infarction?
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What is the primary role of tin pyrophosphate in radionuclide equilibrium ventriculography (REVG)?
What is the primary role of tin pyrophosphate in radionuclide equilibrium ventriculography (REVG)?
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What is the primary purpose of table 1?
What is the primary purpose of table 1?
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What is the purpose of synchronizing magnetic resonance imaging with cardiac contractions and respiratory phases?
What is the purpose of synchronizing magnetic resonance imaging with cardiac contractions and respiratory phases?
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What is the advantage of using fast and ultrafast pulse sequences in magnetic resonance imaging?
What is the advantage of using fast and ultrafast pulse sequences in magnetic resonance imaging?
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What is the benefit of performing multiphase cinoMRT simultaneously on several anatomical levels?
What is the benefit of performing multiphase cinoMRT simultaneously on several anatomical levels?
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What is the characteristic of the signal obtained from the myocardium on magnetic resonance tomograms?
What is the characteristic of the signal obtained from the myocardium on magnetic resonance tomograms?
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What is the significance of the intensity of the magnetic resonance signal from the myocardium?
What is the significance of the intensity of the magnetic resonance signal from the myocardium?
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What is the limitation of coronary arteries imaging with native magnetic resonance imaging?
What is the limitation of coronary arteries imaging with native magnetic resonance imaging?
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What is the purpose of plotting intensity-time curves in cardiology?
What is the purpose of plotting intensity-time curves in cardiology?
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What is the significance of defects in perfusion in magnetic resonance imaging?
What is the significance of defects in perfusion in magnetic resonance imaging?
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What is the advantage of performing a three-dimensional reconstruction in contrast magnetic resonance coronarography?
What is the advantage of performing a three-dimensional reconstruction in contrast magnetic resonance coronarography?
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What is the primary function of 99mTc-per-technetate in radionuclideal equilibrium ventriculography?
What is the primary function of 99mTc-per-technetate in radionuclideal equilibrium ventriculography?
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What is the diagnostic significance of perfusion scintigraphy of the myocardium in cardiac ischemia?
What is the diagnostic significance of perfusion scintigraphy of the myocardium in cardiac ischemia?
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What is the primary indication for radionuclideal equilibrium ventriculography?
What is the primary indication for radionuclideal equilibrium ventriculography?
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What is the gold standard for evaluating the state of coronary arteries?
What is the gold standard for evaluating the state of coronary arteries?
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What is the primary advantage of radionuclideal equilibrium ventriculography over echocardiography?
What is the primary advantage of radionuclideal equilibrium ventriculography over echocardiography?
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What is the diagnostic significance of visualization of images of the heart in different phases?
What is the diagnostic significance of visualization of images of the heart in different phases?
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What is the primary benefit of using magnetic resonance imaging in the diagnosis of aneurysms of the thoracic aorta?
What is the primary benefit of using magnetic resonance imaging in the diagnosis of aneurysms of the thoracic aorta?
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What is the diagnostic significance of radionuclideal equilibrium ventriculography in acute myocardial infarction?
What is the diagnostic significance of radionuclideal equilibrium ventriculography in acute myocardial infarction?
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What is the primary limitation of radionuclideal equilibrium ventriculography?
What is the primary limitation of radionuclideal equilibrium ventriculography?
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What is the diagnostic significance of echocardiography in mitral stenosis?
What is the diagnostic significance of echocardiography in mitral stenosis?
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What is the characteristic echocardiographic feature of mitral stenosis in B-mode?
What is the characteristic echocardiographic feature of mitral stenosis in B-mode?
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What is the radiographic sign of aortic stenosis in the direct projection?
What is the radiographic sign of aortic stenosis in the direct projection?
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What is the Doppler echocardiographic feature of mitral valve insufficiency?
What is the Doppler echocardiographic feature of mitral valve insufficiency?
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What is the radiographic feature of exudative pericarditis in the direct projection?
What is the radiographic feature of exudative pericarditis in the direct projection?
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What is the characteristic M-mode echocardiographic feature of mitral stenosis?
What is the characteristic M-mode echocardiographic feature of mitral stenosis?
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What is the echocardiographic feature of aortic valve insufficiency in B-mode?
What is the echocardiographic feature of aortic valve insufficiency in B-mode?
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What is the Doppler echocardiographic feature of aortic stenosis?
What is the Doppler echocardiographic feature of aortic stenosis?
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What is the radiographic feature of aortic valve insufficiency in the left lateral projection?
What is the radiographic feature of aortic valve insufficiency in the left lateral projection?
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What is the characteristic feature of exudative pericarditis in echocardiography?
What is the characteristic feature of exudative pericarditis in echocardiography?
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What is the Doppler echocardiographic feature of aortic valve insufficiency?
What is the Doppler echocardiographic feature of aortic valve insufficiency?
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What is the characteristic radiographic feature of adhesive constrictive pericarditis?
What is the characteristic radiographic feature of adhesive constrictive pericarditis?
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What is the diagnostic value of MR-aortography in the diagnosis of aneurysms of the thoracic aorta?
What is the diagnostic value of MR-aortography in the diagnosis of aneurysms of the thoracic aorta?
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What is the characteristic echocardiographic feature of heart contusion?
What is the characteristic echocardiographic feature of heart contusion?
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What is the diagnostic value of CT-aortography in the diagnosis of aneurysms of the thoracic aorta?
What is the diagnostic value of CT-aortography in the diagnosis of aneurysms of the thoracic aorta?
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What is the characteristic radiographic feature of rupture of the outer walls of the heart?
What is the characteristic radiographic feature of rupture of the outer walls of the heart?
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What is the diagnostic value of perfusion scintigraphy of the myocardium in the diagnosis of heart contusion?
What is the diagnostic value of perfusion scintigraphy of the myocardium in the diagnosis of heart contusion?
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Study Notes
Invasive Diagnostic Methods
- Invasive techniques are used to measure intracardiac pressure and determine the gas composition of the blood in various heart chambers
- These techniques allow for detailed qualitative and quantitative characteristics of morphological changes in the heart and violations of central hemodynamics
- Examples of invasive techniques include:
- Angiocardiography: contrast radiographic examination of the thoracic aorta
- Coronarography: contrast study of the coronary arteries of the heart
- These techniques are invasive and may be burdensome and unsafe for patients, so indications for their use are narrowing
Ultrasound Method
- Ultrasound is a non-invasive and highly informative method for diagnosing heart disease
- It allows for the evaluation of:
- Morphological and functional state of all cardiac structures
- Anatomical features of the heart
- Myocardial contractility
- State of central hemodynamics
- Types of echocardiography:
- B-mode: used to obtain images of all anatomical structures of the heart
- M-mode: used to measure biometric parameters of the heart
- Doppler echocardiography: used to study blood flow in the heart cavities
- Ultrasound is particularly useful for assessing the state of the thoracic aorta
X-Ray Diagnosis of the Cardiovascular System
- X-ray methods are still widely used in the study of the heart and thoracic aorta
- Native X-ray examination of the thoracic aorta is used to evaluate the morphology of the aorta
- Linear tomography can be used to supplement native X-ray examination
- X-ray methods are used to judge the position, shape, and size of the heart and aorta
Normal X-Ray Anatomy of the Heart and Thoracic Aorta
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The cardiac shadow is median-asymmetrical, with 1/3 to the right of the median line and 2/3 to the left
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The left contour of the heart does not reach the left median-clavicular line by 1.5-2 cm
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The vascular bundle shadow is formed by the thoracic aorta, superior hollow vein, and pulmonary artery
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The angle of inclination of the heart depends on the constitutional type of the patient### Cardiovascular Shadow in Radiography
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The cardiovascular shadow in a direct projection has a corsal-positioned oval shape adjacent to the diaphragm and sternum.
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The front contour of the cardiovascular shadow is formed by the ascending part of the aorta (top) and the right ventricle (bottom).
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The posterior contour is formed by the left atrium (top) and the left ventricle (bottom).
Pathological Forms of the Cardiovascular Shadow
- There are 5 variants of the pathological form of the cardiovascular shadow: mitral, aortic, globular, trapezoidal (triangular), and a form with local expansion.
- Mitral configuration: elongation and swelling of the second and third arcs of the left contour of the cardiac shadow; upward displacement of the right cardiovascular angle.
- Aortic configuration: westing of the waist of the heart; elongation of the lower arc along the left contour; enlargement and swelling of the upper arc on the right and displacement of the right cardiovascular angle downwards.
- Globular shape: characteristic of exudative pericarditis, multivalve acquired heart defects.
- Trapezoidal (triangular) form: characteristic of diffuse lesions of the myocardium.
Local Expansion of the Cardiovascular Shadow
- Manifests aneurysms of the heart and aorta, tumors and cysts of the heart, neoplasms of the mediastinum.
- Indicated by lengthening, bending, unfolding, expanding, and increasing the intensity of the shadow of the aorta.
Radiographic Signs of Aortic Pathology
- Lengthening of the aorta: indicated by a decrease in the distance from the upper contour of the aortic arch to the left sternoclavicular junction (less than 1 cm).
- Bending, unfolding, expanding, and increasing the intensity of the shadow of the aorta.
Left Atrium and Ventricles
- Left atrium: in a direct projection, an increase in the left atrium leads to an elongation of its arc on the left contour; an additional arc appears on the right side of the heart in the zone of the right cardiovascular angle.
- Left ventricle: in a direct projection, an increase in the left ventricle causes lengthening and swelling of its arch along the left contour of the cardiac shadow; in the left lateral projection, the magnitude of the left ventricle can be judged by the degree of abutment of the heart to the diaphragm.
Pulmonary Artery
- Estimated in a direct projection from the middle line to the most distant point of its contour.
- Normally, the size of the pulmonary artery does not exceed 30% of the transverse basal size of the chest (Moore's ratio).
Special X-ray-contrast Methods
- Angiocardiography: method of artificial contrasting of the heart cavities; used to diagnose complex, combined heart defects.
- X-ray computer tomography (CT): provides a general idea of the organs of the chest, including the heart and large vessels; used to diagnose exudative and adhesive pericarditis, and identify calcification in the coronary arteries.
- Magnetic resonance imaging (MRI): provides a differentiated image of the walls of the heart and blood in its cavity; used to diagnose aneurysms of the heart and aorta, coarctation of the aorta, paracardial structures, hypertrophic cardiomyopathy.
- Radionuclide method: used to study the blood supply to the heart on the microcirculation level; perfusion scintigraphy of the myocardium, scintigraphy of the heart of myocardial infarction, and radionuclide equilibrium ventriculography are used to diagnose heart diseases.### Radionuclide Ventriculography (REVG)
- REVG is performed by injecting 99mTc-per-technetate intravenously, which binds to pyrophosphate, providing a stable label of at least 90% of red blood cells for up to 4 hours.
- Several hundred images are recorded using a gamma camera, which are then analyzed by computer to form a single average image of the cardiac cycle.
- Activity-time curves are constructed to reflect the contractile function of the heart during several cardiac cycles.
- Ejection fraction is calculated by measuring the difference in blood levels of radioactivity in the ventricles between end-diastolic and end-systolic phases.
Indications for REVG
- Ischemic heart disease
- Myocardial infarction
- Heart aneurysms
- Hypertension
- Diffuse lesions of the heart muscle
- Evaluation of reserve capabilities of the myocardium by ejection fraction using dosed physical exercise
Diagnostic Significance of Radial Methods in Cardiology
- Echocardiography is the preferred method for radial examination of the heart
- Radionuclide study is necessary for assessing perfusion and metabolism of the myocardium
- Traditional radiocontrast study is the gold standard for evaluating the state of coronary arteries
- MRI and CT are priority methods for diagnosing diseases of the thoracic aorta
X-ray Semiotics of Heart and Thoracic Aortic Diseases
- Cardiac ischemia:
- Echocardiography: violation of contractility of individual sections of the left ventricular wall, reduction of left ventricular ejection fraction
- Perfusion scintigraphy of the myocardium: areas of the myocardium with reduced accumulation of RPP
- Contrastive X-ray and CT coronarography: narrowing, occlusion of various branches of the coronary arteries
- Acute myocardial infarction:
- Perfusion scintigraphy of the myocardium: complete absence of accumulation of RFP in the necrotic area of the myocardium
- Scintigraphy of the focus of myocardial infarction: RPP hyperfixation site
- Radionuclideal equilibrium ventriculography, echocardiography: site of akinesia of the left ventricular wall, reduction of left ventricular ejection fraction
- Mitral stenosis:
- Radiography: swelling along the left contour of the cardiac shadow, upward displacement of the right cardiovascular angle, changes in the lungs
- Echocardiography: dome-shaped diastolic deflection of mitral valve flaps, reduction of the area of the mitral orifice, thickening, compaction, calcification of mitral valve flaps
CT Angiocardiography
- Advantages: high spatial and temporal resolution, ability to visualize all structures of the heart, evaluation of morphological changes and state of central hemodynamics
- Techniques: static or dynamic scanning, multiplanar reformation, and three-dimensional transformation
- Applications: diagnosis of aneurysms, blood clots, and intracavitary neoplasms of the heart, cicatricial myocardial damage, hypertrophic cardiomyopathy, and other pathological conditions
Additional Radiological Findings
- Mitral valve insufficiency:
- Radiography: elongation and displacement to the left of the left ventricular arch, bulging along the left contour of the left atrial appendage
- Echocardiography: incomplete systolic closure of the valves of the mitral valve, dilatation of the cavities of the left chambers of the heart
- Aortic stenosis:
- Radiography: elongation and displacement to the left of the left ventricular arch, expansion of the arch of the ascending aorta, displacement down the right cardiovascular angle
- Echocardiography: decrease in the systolic divergence of the valves of the aortic valve, thickening, compaction, calcification of the aortic valve, decrease in the area of the aortic estuary
- Aortic valve insufficiency:
- Radiography: elongation and displacement to the left of the left ventricular arch, expansion of the arch of the ascending aorta, displacement down the right cardiovascular angle
- Echocardiography: incomplete diastolic closure of the valves of the aortic valve, dilatation of the cavity of the left ventricle
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Test your knowledge of x-ray methods used in the diagnosis of cardiovascular diseases, including the heart and thoracic aorta. This quiz covers the advantages and limitations of different radiological methods in various clinical situations.