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One of the twin babies. Diagnosed dilated heart. Advice

Dear Doctors,
I have twin babies who were born 15 months,(jan 2012) a boy and a girl.My boy was having some wheezing problem initially,and also we found he is having this dilation on the left lower pole pelivicalyceal system.we were advised to undergo some medications and he was fine so far.
last night he fell down showing some weakness together with vomiting (like foam), when we arrive at the hospital his pulse was 96/132,his blood sugar level is normal, x-ray and scan at abdomen portion done to check whether he ate something or not.
The x-ray report says his heart is dilated and need to go for further check with cardiologist.
Please advise what may be this problem and what it may lead to, what action should we take to prevent worst case.
Asked On : Tue, 30 Apr 2013
Answers:  1 Views:  18
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Pediatrician 's  Response
The dilated heart here means large cardiac shadow on chest X ray.This may be actual or as a result of technical error while taking film. In AP(anteroposterior) film heart looks bigger. The true measurement is around more than 50 to 60% of maximum chest width.

If enlarged it is due to heart dysfunction the causes of which may be outside the heart(anemia,hypertension,hypoxia,metabolic dysfunction) or with in the heart( disease of any of three layers of heart pericardium, myocardium, endocardium,: valves or electrical disturbances in heart)
A complete workup by a team of pediatrician and pediatric cardiologist along with pediatric cardiac surgeon and radiologist is suggested.
Most of such disorders are treatable and treatment modalities are available at many centres of country.
Answered: Tue, 30 Apr 2013
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