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A Physiologic Approach

Eugene Gedgaudas, MD; Laura Knight, MD

JAMA. 1975;232(1):63-67.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A CLINICAL evaluation, electrocardiogram, and roentgenologic study of the chest with barium swallow form the classic triad on which the diagnosis of cardiac disease rests. The four views of the heart with barium in the esophagus give information about the state of the pulmonary vasculature, heart size and contour, differential enlargement of chambers, relationship and size of the great vessels, and the presence of calcifications within the cardiac shadow or in the vessels. Such information may add new dimensions or only confirm the clinical impression. It may also provide important practical information in planning a catheterization or surgical approach; eg, awareness of an aberrant right subclavian artery would rule out the use of the right brachial artery as an approach to the ascending aorta and left ventricle at cardiac catheterization; the presence of a right aortic arch would suggest to the surgeon the use of the left subclavian artery for . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology, University of Minnesota Hospitals, Minneapolis.

Footnotes
Reprint requests to Department of Radiology, University of Minnesota Hospitals, Minneapolis, MN 55455 (Dr. Gedgaudas).

Edited by Z. Danilevicius, MD, Senior Editor.

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