Q. Define X-Ray Chest and Coronary Angiography?
X-Ray Chest
It shows cardiomegaly with left ventricle (LV) and left atrium (LA) enlargement. There may be signs of pulmonary venous hypertension viz. pulmonary venous redistribution, interstitial edema, alveolar edema and pleural effusion. Systemic venous hypertension may cause dilatation of azygos and Superior Vena Cava (SVC).
2D Echocardiography
It shows left sided or 4 chamber enlargement with reduced EF. The wall thickness is usually normal. There is generalized hypokinesis. Occasionally segmental wall abnormalities are present Mitral and tricuspid incompetence is seen on Doppler.
Coronary Angiography
It shows normal arteries or insignificant coronary artery disease.