Vertebral heart score (VHS)

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  • Defining characteristics:
    Enlargement of cardiac size based on measurement of the axes of the heart against the thoracic vertebrae

  • Common differential diagnoses:
    Cardiomyopathy, Valvular disease, pericardial disease, Congenital disease

  • Helpful additional data:
    History of cough or collapse?Evidence of LAE or CHF?

  • Commonly associated diagnostics:
    Consider thoracic ultrasound if available

  • Commonly associated treatments:
    Possible diuretics or other cardiac Rx

  • Commonly associated home care:
    Rx, monitor for coughing, collapse, and labored breathing.