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Cardiomegaly

ByDr Qaisar Ahmed

Mar 3, 2025 #Cardiomegaly, #Dilated Heart, #Heart Diseases, #Heart Enlargement
Enlarged heart - Types of Cardiomegaly - Symptoms - Diagnosis - Treatment - Homeopathic - Dr Qaisar Ahmed | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMSDr Qaisar Ahmed MD, DHMS.
Cardiomyopathies are conditions affecting the heart muscle, leading to impaired mechanical and electrical function, which can manifest as either dilated, hypertrophic, or restrictive pathophysiological changes.
In other words – cardiomegaly is among the disorders categorized by a structural enlargement of the heart, left or bi-ventricular dilation and reduced contraction by any of the situations including pregnancy, resulting in damage to heart muscles and causing trouble in normal heart functioning, chronic tachycardia, bradycardia (arrhythmias) myocardium inflammation, allergens, toxins, allopathic medication, and systemic endocrine or autoimmune disorders etc.

Types of Cardiomegaly

Cardiomyopathy is a disorder that affects the heart muscle or myocardium and causes cardiomegaly. There are three main types of cardiomegaly:

1- Dilated cardiomyopathy

Poor left ventricular function (main pumping cavity) is known as Dilated cardiomyopathy (DCM).  The main cause of cardiomegaly’s and heart failures – DCM is a complex and impairing cardiac disease described as the left ventricle’s hypertrophy and a gradual loss of pumping capacity. DCM is a common cause of heart failure and is a heterogeneous condition involving inappropriate ventricular hypertrophy or dilation of ventricles, which develops gradually and can lead to compensatory heart failure. DCM can grow at any age and is more common in men, accounting for about 60 % of all cases of cardiomyopathy in children.
Genetic defects have been reported that affect the structural elements of cardiomyocytes, ion channels, cytoskeletons, and mitochondria. DCM can be influenced by systemic factors like inflammation, malnutrition, and infectious diseases, with alcoholism accounting for 21–36 % of cases. The risk of developing DCM due to alcohol dependence is impaired by several susceptibility factors, including race and genetic factors.
DCM – Ischemia relations
As a non-ischemic heart muscle illness, DCM is not related to ischemic heart disorders like myocardial infarction; rather, its fundamental causes are different from those linked to coronary artery blockages or myocardial infarction. Conversely, DCM is primarily distinguished by anomalies in both structure and function seen in the myocardium, the heart’s muscle tissue, which eventually lead to impaired cardiac function.
DCM is characterized by the presence of oxidative stress, which arises from an imbalance between antioxidants and reactive oxygen species (ROS). ROS can inflict harm upon cellular components, exacerbating myocardial dysfunction.
In dilated cardiomyopathy DCM, the sustained activation of neurohormonal systems, such as the renin-angiotensin-aldosterone system and the sympathetic nervous system, initially serves as adaptive responses to cardiac dysfunction. However, over time, these responses can contribute to adverse cardiac remodeling and further progression of the disease.
Coronary artery disease or irregular load circumstances cannot account for DCM in ischemic cardiomyopathy (ICMP).
Genetic defects
Heart genetic defects include muscle protein, A/C laminin, heavy chain β-myosin, troponin T, myosin binding, C protein, myosin, alpha sodium channel unit, and phosphate lamb. Neuromuscular genetic defects include muscular dystrophy of Duchenne, Baker, mitochondrial disorders, Bart syndrome, contagious viruses, fungi, parasites, rickettsia, protozoa, autoimmune myocarditis, Churg-Strauss syndrome, polyangiitis granuloma, systemic lupus, and toxic alcohol of Sarcos.
Drug induced dilated cardiomyopathy
Drug-induced especially allopathic anti-tumor and psychiatric medications, along with other allopathic medications, can cause various health issues such as hypoplasia, hyperactivity, Cushing’s disease, Addison’s disease, pheochromocytoma, acromegaly, diabetes, perinatal cardiomyopathy, fatty acid oxidation, and congenital metabolic errors. Cardiomegaly (Righ Heart) | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS
Mechanical dilated cardiomyopathy
The mechanical stretching and straining experienced by cardiac myocytes initiate signaling pathways that contribute to these remodeling processes, ultimately resulting in structural changes, including myocyte hypertrophy and fibrosis, which can lead to an enlarged and weakened left ventricle.
Inflammation can contribute to the pathogenesis of DCM. Activation of the immune system and the release of pro-inflammatory cytokines have been observed in individuals with DCM. Persistent inflammation can lead to myocyte injury and the development of fibrosis, further compromising cardiac function.

2- Hypertrophic cardiomyopathy

The cardiomyocytes get larger in this form of cardiomyopathy, and the ventricular wall thickens. This thickening of the ventricular wall hinders blood flow. HCM is characterized by irregular amyloid protein accumulation in the heart, with age playing a significant role as it is more prevalent in neonatal and infant genetic metabolism or neuromuscular genetic diseases. Reconstructing genetic history can identify disease patterns, with a family history of sudden death, mysterious heart failure, or arrhythmia as the main factors. Symptoms may indicate a systemic cause.
HCM is a heterogeneous disease of left ventricular hypertrophy and, in some cases, obstruction of the left ventricular outflow tract. About 60 % of adults and adolescents with this illness have a family issue as the etiology. Numerous genetic mutations in HCM, the fundamental building block of repeated contractile proteins in muscle cells, have been reported. Although autosomal and sex-related recessive modes have also been found, autosomal dominant inheritance is usually the mode of inheritance for these disorders.
Genetic abnormalities in the β-myosin heavy chain gene may be found in 70–80 % of hereditary HCM cases, which are attributed to myosin binding protein C and troponin T. This condition is significantly influenced by genetic factors, primarily due to mutations in specific genes such as MYBPC3 and MYH7.
How HCM effects the heart?
These genetic mutations are the main contributors to the malfunction of cardiac muscle proteins, which disrupt the normal contractile function of the heart. Consequently, the cells that make up the heart, often referred to as cardiomyocytes, undergo hypertrophy, which causes them to become larger and thicker. This hypertrophic condition can give rise to various clinical symptoms, including the blocking of blood flow from the heart and the occurrence of arrhythmias.
On molecular state!
The molecular mechanisms that contribute to HCM involve intricate signaling pathways, for instance, the mitogen-activated protein kinase (MAPK) and calcineurin/NFAT pathways, which are activated in response to cellular stress. Moreover, hemodynamic factors related to the inhibition of blood flow can lead to clinical manifestations like breathlessness, chest discomfort, and lightheadedness.
Understanding the genetic and molecular factors at the core of HCM is pivotal for purposes such as diagnosis, assessing risk, and designing targeted therapies. Genetic testing and counseling play indispensable roles in the Management of HCM due to its strong hereditary component.
Genetic issues can cause HCM, metabolic or neuromuscular conditions (5–10 %), or rare non-hereditary causes like amyloidosis.

3- Restrictive cardiomyopathy

Restrictive cardiomyopathy (RCM) is a less prevalent form of cardiomyopathy, presents a genetic basis that is currently in the process of being further elucidated, and is not as well-defined in comparison to other cardiomyopathies like DCM or HCM. Although RCM is frequently labeled as idiopathic or sporadic, there have been associations between the condition and specific genetic factors and mutations. Normal heart (a) vs. cardiomegaly (b) | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS
RCM is ventricular stiffness, causing ventricular filling and diastolic volume reduction. Diastolic dysfunction on echocardiograms is suspected if the systolic output is normal. It is the least prevalent cardiomyopathy, comprising 5 % of pediatric cardiomyopathy.
There are several explanations for the RCM, but 50 percent of the reasons have not been identified. Nonetheless, it is crucial to recognize the genetic diversity of RCM as it can manifest as both sporadic and familial cases, and the genetic foundations may differ among individuals and families. As our comprehension of the genetic factors behind RCM advances, genetic testing, and counseling become pivotal in assessing risk and managing the condition of affected individuals and their families. Non-genetic elements and the intricate interplay between various genetic and environmental factors could also influence the onset of RCM.
RCM is caused by endocardial fibrosis and is most common in tropical and sub-Saharan African countries, such as Cameroon. While RMCP is more widespread in amyloidosis, sarcoidosis, and hemochromatosis. RCM can grow from a root cause. Endocardial fibrosis can be caused by conditions like hemochromatosis, glycogen storage disease, or Fabry disease, which causes excessive load in myocardial cells. Other forms of cardiomyopathy may result in restricted pathophysiology.
RCM etiological causes
General etiologies or pathogenic causes include restrictive cardiomyopathy, intrusive amyloidosis disorder, sarcoidosis, primary hyperoxaluria, Gaucher disease or storage disease, hemochromatosis, Fabry disease, systemic sclerosis, glycogen storage disease, type I and II mucopolysaccharidoses, Niemann-Pick disease, non-invasive idiopathic diabetic cardiomyopathy, pseudoxanthoma, sarcomeric protein disorder, Werner syndrome, myo-fibro myopathy, endocardial carcinoid heart disease, endocardial fibrosis, drug-induced serotonin, methylated ergot, ergotamine, busulfan, anti-hydroxyquinoline (allopathic), anti-tumor allopathic medications, and other forms of cardiomyopathies.
Symptoms of Restrictive cardiomyopathy (RCM)
In most cases, when the enlargement of the heart becomes moderate or serious, symptoms usually appear. Significant symptoms include the abnormal rhythm of the heart, cough, chest pain, severe tiredness, dizziness, shortness of breath, bloating of the stomach, and swelling of the ankles, legs, and feet.
Causes of restrictive cardiomyopathy
Abnormal or diseased heart valves, amyloidosis, rare diseases that can affect heart function, anemia, arrhythmias, cardiomyopathy, genetics, heart disease, diabetes, hemochromatosis that can cause excessive iron in the body, high blood pressure, heart attack, hyperthyroidism, excessive work/exercise or diseases that damage the heart can cause cardiac hypertrophy.
Causes of transient cardiomyopathy
Causes of transient cardiac hypertrophy can include heavy drinking (alcoholism) or drug use, which may cause mild cardiac hypertrophy. In reversing this situation, therapy will succeed. Because of stress severe stress can cause acute stress-induced cardiomyopathy. About 75 % of people are affected by emotional or physical stress. Pregnancy the heart often gets larger in childbirth. This sort of cardiac hypertrophy may be called perinatal cardiomyopathy. Viral heart infection: Antiviral medicines may be required to treat a heart virus infection that causes heart hypertrophy.

Other causes of cardiac hypertrophy

A series of clinical heart failure syndromes can result in an extension of the heart in the form of dilation or hypertrophy. Most cases account for heart failure with preserved ejection fraction (HFpEF). After diagnosis, about half of people diagnosed with heart failure die within five years. Cardiomegaly | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS
There are genetic and non-genetic components to the development of hypertrophy and heart remodeling. Dilated hypertrophy, fibrosis, and contractile dysfunction are the most critical pathophysiological changes leading to cardiac hypertrophy. Hypertrophic cardiomyopathy or dilated cardiomyopathy may result from systolic dysfunction and abnormal myocardial remodeling. Important stimuli for MAP kinase and inflammatory cytokines signal transduction in cardiomyocytes are circulating neurohormones, mechanical stretching, and oxidative stress. Transduction of signals leads to structural protein and protein changes that regulate excitatory contraction. Dilated cardiomyopathy mutations result in decreased sarcomere contractility and decreased sarcomere content. Hypertrophic mutations in cardiomyopathy lead to hyperdynamic contraction, poor relaxation, and increased energy expenditure in a molecular phenotype.

Cardiomyopathy

Cardiomyopathy is a condition indicated by abnormal heart muscle. Abnormal muscles make it harder for the heart to pump blood to the rest of the body.

Main Types of Cardiomyopathies are:

  • Dilated (stretched and thinned muscle)
  • Hypertrophic (thickened heart muscle)
  • Restrictive (rare problem where the heart muscle does not stretch normally so the chambers in the heart do not fill with blood properly)

Signs and Symptoms of Cardiomyopathy

  • Shortness of breath
  • Fatigue
  • Swelling of the feet, ankles and/or legs
  • Coughing when lying down
  • Dizziness
  • Chest pain
  • Irregular heartbeats

Diagnosis

Echocardiography and other imaging techniques are used to evaluate ventricular dysfunction and adverse myocardial modifications, and when inflammation or infection is assumed, immunological and histological analyses are recommended. Cardiomegaly is usually assessed by using an array of radiological modalities, including computed tomography (CT) scans, chest X-rays, and MRIs. These imaging techniques have provided an important opportunity for the physiology and anatomy of the heart. This review aims to highlight the complexity of cardiomegaly, highlighting the contribution of both ecological and genetic variables to its progression.

Moreover, we further highlight the worth of precise clinical diagnosis, which comprises blood biomarkers and electrocardiograms (EKG ECG), demonstrating the significance of distinguishing between numerous basic causes.

Finally, the analysis highlights the extensive variation of treatment lines, such as lifestyle modifications, prescription drugs, surgery, and implantable devices, although highlighting the critical need for individualized and personalized care.

Treatment Options

Cardiomegaly is a condition causing impaired contractility and is typically treated first-line to prevent heart failure. Life-threatening arrhythmias prevention, cardiac resynchronization therapy, and implantable cardioverter-defibrillators may be necessary. Customized treatments can improve prognosis by identifying the cause of cardiomegaly. Personalized clinical care and Improved etiology-driven cardiomegaly patients will benefit from radiological diagnostic tools like echocardiography and CT angiography, enabling early diagnosis and treatment. angina pectoris - cardiomegaly - causes - of - heart attack | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS
Cardiomegaly is a swollen heart symptom, not an illness. Moderate cardiomegaly is less extreme and may not be noticeable. In some cases, cardiomegaly is temporary and healing on its own, while others can have irreversible cardiomegaly. In avoiding heart damage, it is crucial to treat the symptom and its underlying cause, which involves improvements in medicine, surgery, and lifestyle.

Complications

Extensive hearts can lead to complications such as blood clots, heart failure, and sudden death. Blood clots can block blood flow, potentially causing stroke or heart attack. Heart failure can result from a failure in the heart’s electrical system, leading to cardiac arrest and sudden death. Heart murmurs caused by faulty valve closure can be harmless but should be monitored.

Diagnosis

The precise and timely diagnosis of Cardiomyopathy is essential to initiate the right management and treatment approaches. The evaluation of DCM usually combines clinical assessment, non-invasive imaging methods, and targeted diagnostic tests. The diagnostic procedure frequently commences with a comprehensive medical history and physical examination. The presence of symptoms like shortness of breath, fatigue, and edema can trigger further inquiry.
Images
Some or all of the following may be included in diagnostic tests. Cardiomegaly, indicated by an enlarged heart, requires a comprehensive diagnostic approach involving:
  • Chest X-rays for initial size assessment. A chest X-ray can demonstrate the condition of the heart and lungs. Further testing is usually required to determine the cause. (a = distance from the right heart border to the midline, b = distance from the left heart border to the midline, and c = maximum thoracic diameter) PA chest X-ray showing CTR
  • Electrocardiograms (ECG or EKG) for evaluating electrical activity, but ECG alone may not determine the cause.
  • Echocardiography, particularly transthoracic echocardiography (TTE), provides detailed information on cardiac dimensions and function,
  • Computed tomography (CT), Cardiac Magnetic Resonance Imaging (MRI) scans offer high-resolution images to assess heart structure and scar tissue presence.

It is possible to use a CT scan or MRI scan to develop and develop the heart and chest. Magnetic resonance imaging (MRI) of the heart having cardiomegaly. This MRI image provides a representation of Cardiomegaly, marked by an enlarged heart. It offers a comprehensive view of the heart’s size, shape, and internal structures, allowing for a thorough assessment of the degree and root causes of cardiomegaly. Notably, the MRI highlights key aspects like cardiac chamber size, myocardial wall thickness, and overall heart dimensions.

For the measurement of the heart’s electrical activity and to diagnose abnormal heart rhythms, an electrocardiogram is used. With repolarization abnormality (LV “strain” pattern) in V5-6, left ventricular hypertrophy is marked. A 12-lead ECG is a valuable diagnostic tool as it can unveil arrhythmias, conduction irregularities, and indicators of left ventricular hypertrophy.

The choice of diagnostic method depends on clinical presentation and suspected causes, with a combination of these modalities ensuring a comprehensive assessment for accurate diagnosis and management of cardiomegaly.

Blood and other tests
Blood tests measure biomarkers like BNP and troponins to detect cardiac stress or damage. Coronary angiography is used when coronary artery disease is suspected. Some blood tests, including examining kidney, and liver function and thyroid as well as iron levels, may be performed. B-type natriuretic peptide (BNP), a protein made in the heart, can be measured with a single blood test.
One common consequence of cardiomyopathy is heart failure, which can result in an increase in blood BNP levels screening or testing for genetics. Genetic testing has become increasingly vital for the detection of mutations in genes associated with DCM. This approach aids in assessing the risk and may offer guidance for treatment strategies. What Is an Enlarged Heart (Cardiomegaly)? - Consensus | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS
Stress test
Stress testing during workouts appears to be safe in well-chosen HCM patients.  A stress test requires a workout while connected to a heart and blood pressure monitor on a treadmill or exercise bike. An exercise stress test evaluates the heart’s capacity to react properly during strenuous activity. The findings revealed the functioning of the heart during physical activity.
Ultrasound
This procedure uses sound waves to create a video picture of the heart so that physicians can examine the state of its chambers. It indicates any inflammation, congenital heart defects, heart attack damage, and heart twitch effectiveness.

Treatments

The effective allopathic and Homeopathic Management of Cardiomegaly, characterized by an enlarged heart, necessitates a multifaceted approach aimed at improving cardiac health and addressing the underlying causes of the condition. This comprehensive approach involves various treatment modalities and strategies tailored to the individual’s specific clinical presentation and medical history.
In allopathic treatment, a personalized along with intensive care and a multi-disciplinary approach are crucial to determine the most appropriate and optimal strategy for its treatment.
In Homeopathic treatment (given below👇), there is no need to admit patient in intensive care to determine the most appropriate and optional strategy for treatment of cardiomegaly.
A much strict consideration should be followed for the underlying causes and clinical presentation of the cardiomegaly.

Treatment strategies

This is wrong information that moderate cardiac hypertrophy is usually rectified on its own, cardiomegaly should be treated as soon as possible, treatment strategies are as follows:
The recommended allopathic and Homeopathic medication will depend on a specific illness condition that (for example anemia and/or thyroid disease, liver diseases, spleen diseases etc) causes the heart muscles to expand. Medication might be necessary for the management of high blood pressure along with irregular a notable heart rhythm.
In allopathic practice, heart failure patients needed to use the medication including beta-blockers and angiotensin-converting enzyme (ACE) inhibitors. If the selected allopathic medicine is ineffective for the treatment of heart hypertrophy or either symptom worsen, the use of specialized medical equipment for the treatment may become necessary. It is vital to authenticate new biomarkers and therapeutics through research and clinical trials to regulate their clinical worth and safety. Allopathic diuretics can also cause a temporary lowering of arterial pressure, whereas anticoagulants can easily lower the chances of blood clotting.
Heart rate monitors may be useful in treating patients with DCM to control their heartbeat. An implantable cardioverter defibrillator (ICD) may be required to deliver electrical shocks to control the heart rhythm in patients with severe arrhythmia. Cardiomegaly | Enlarged heart | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS
Surgery
In allopathic practice, more severe cases of cardiac hypertrophy or patients who do not respond to allopathic treatments are usually reserved for surgery.
Surgery for coronary artery bypass and heart transplantation. Surgery, such as coronary artery bypass grafting and valve repair, may be required in specific cases. Implantable devices like pacemakers and ICDs address arrhythmias.

Homeopathic treatment for cardiomyopathy

Homeopathy has variety of well proven medicines for cardiomyopathy (heart dilation, enlargement) with good and lifelong results, for example:

Laurocerasus

Apoplexy. Asphyxia. Asthma. Chorea. Convulsions. Cyanosis. Heart affections. Liver affections. Palpitation. Anemia.

Hoarseness, roughness, and scraping in throat and pharynx. Deep bass voice. Spasmodic constriction of the trachea. Little short cough, excited by a tickling and scraping in throat. Abundant gelatinous expectoration, with small specks of blood.

Slow, weak, anxious respiration. Heart Attack. Pains in region of heart. Slow and irregular beating of heart. The patient puts his hand to his heart, as if there was some trouble there; this may result from running a short distance, which puts him/her completely out of breath; going upstairs, walking, any exercise may bring this on.

Lithium Carbonicum

Albuminuria. Aneurysm. Angina Pectoris. Glands swelling. Gout. Headaches. Obesity. Ossification of arteries. Prostatitis. Retina’s anemia. Rheumatism. Spleen affections. Syphilis. Heart Attack. Rheumatic soreness in region of heart. Violent pain in region of heart as he/she bent over bed, morning on rising. Sudden shock in heart. Throbbing; like a dull stitch in region of heart. Pains in heart after pains in bladder. Pains in heart before and at time of commencement of menses. Trembling and fluttering of heart (after mental agitation of a vexatious character). Pains in heart before and at time of urinating. Pressure in region of heart on rising to urinate.

Spongia Tosta

Angina pectoris. Fainting. Goiter, exophthalmic. Heart hypertrophy. Rheumatic fever. Rheumatism. Testicles inflammation. Tuberculosis. Varicose. Respiration, quick, anxious, and difficult, sometimes with fits of suffocation, and mucous rattling in chest. Short, panting respiration. Awakens from sleep with suffocative sensation. Spasmodic, constrictive pains in whole chest. Dyspnea. Ebullition of blood (congestions) in chest after slightest effort and least movement, with obstructed respiration, anguish, nausea, and weakness, which induces syncope.

Pains and anxiety in region of heart. Constricting, stinging, pressing pain in cardiac region. Tachycardia (before menstruation), with suffocation, violent gasping respiration, pain in heart. Rheumatic affections of valves of heart (fibrous deposit on valves). Violent palpitation of heart, beats rapid (each beat was accompanied by a loud blowing as of a bellows), awakens him after midnight, with a sense of suffocation, loud cough, great alarm, agitation, anxiety, and difficult respiration. Pulse full, hard, and frequent. Heart Attack. Homeopathy In Heart diseases | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS

Zincum Metallicum

Alcoholism. Asthma. Chlorosis. Chorea. Hydrocephalus. Hyperpyrexia, nervous. Hypochondriasis. Hysteria. Inframammary pain. Joints, creaking in. Rheumatism. Screaming. Insomnia. Somnambulism. Spleen neuralgia. Urine retention. Varicose; during pregnancy; of external genitals.

Difficult respiration and oppression, with pressive pain in the chest. Constrictive sensation around the chest, with pain in the chest. Spasmodic dyspnea. Shortness of breath, caused by flatulence after a meal. Mucus. Cardiac palpitation. Burning sensation in chest. Pain beneath costal arches.

Tachycardia with or without anguish. Heart Attack. Irregular movements of heart. Shocks in heart and intermittent palpitation, with suffocation. Tension and stitches in the precordial region. Sudden, spasmodic, bursting sensation about heart. Violent pulsations in blood vessels during heat. Rapid pulse.

Latrodectus Mactans

Precordial diseases. Constriction of chest muscles, with radiation to shoulders and back with extreme apneas. Gasping respiration. Fears losing breath. Lowered coagulability. Pulse feeble and rapid. Sinking sensation.

Latrodectus Katipo

Chorea. Faintness. Heart slow. Cardiomegaly. Pulse slow – almost pulseless, scarcely more than twelve or fourteen beats to the minute. Suffered long, wasting and losing all energy, some having appearance of one going into a decline. Nervous twitching all over body. Suddenly became faint and pallid. Nettle-rash. Edema.

Latrodectus Mactans

Angina pectoris. Hemorrhages. Violent precordial pains. Violent precordial pains extending to axilla and down to arm and forearm to fingers with numbness of the extremity and apnea. Pulse 130, so frequent it could not be counted, pulse quick and thready (in few minutes).

Lachesis Mutus

Palpitation, with fainting spells, especially during climacteric. Constricted feeling causing palpitation, with anxiety. Cyanosis. Irregular beats. Hot perspiration, bluish, purplish appearance.  Sensation of suffocation and strangulation on lying down. Breathing almost stops on falling asleep.

Cimicifuga Racemosa/Actaea racemosa

Has a wide action upon the cerebrospinal and muscular system. Dry, short cough. Irregular, slow, trembling pulse. Tremulous action. Angina pectoris. Numbness of left arm; feels as if bound to side. Heart’s action ceases suddenly, impending suffocation. Stiffness, spasms and contraction in various muscles. Rheumatic heart. Palpitation from least motion.

Aurum Metallicum

Arterio-sclerosis, high blood pressure; nightly paroxysms of pain behind sternum. Sclerosis of liver, arterial system, brain. Pining boys; low spirited, lifeless, weak memory. Weakness in the muscles of the heart. Over sensitiveness to noise.

Sensation as if the heart stopped beating for two or three seconds, immediately followed by a tumultuous rebound, with sinking at the epigastrium. Palpitation. Pulse rapid, feeble, irregular. Hypertrophy. High Blood Pressure-Valvular lesions of arterio-sclerotic nature. Dyspnea at night. Frequent, deep breathing; stitches in sternum.

Spigelia Anthelmia

Spigela is a chronic Arnica. Violent palpitation. Precordial pain and great aggravation from movement. Frequent attacks of palpitation, especially with foul odor from mouth. Pulse weak and irregular. Pericarditis, with sticking pains, palpitation, dyspnea. Neuralgia extending to arm or both arms. Angina pectoris. Craving for hot water which relieves. Rheumatic carditis, trembling pulse; whole left side sore. Dyspnea; must lie on right side with head high. Spigelia is an important medicine in pericarditis, cardiomegaly and other diseases of the heart. Heart affections and neuralgia. Normal heart vs cardiomegaly | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS

Ferrum Metallicum

Cardiac and other muscles flabby and relaxed. Irritability. Slight noises unbearable. Excited from slightest opposition. Sanguine temperament. Vertigo on seeing flowing water. Stinging or hammering or pulsating headache. Chest oppressed, breathing difficult. Surging of blood to chest. Hoarseness. Cough dry, spasmodic. Palpitation; worse, movement. Sense of oppression. Anemic murmur. Pulse full, but soft and yielding; also, small and weak. Heart suddenly bleeds into the blood vessels, and as suddenly draws a reflux, leaving pallor of surface.

Arsenicum Album

Shortness of breath, difficulty of respiration, choking, dyspnea, and attack of suffocation, endocarditis, sometimes with cold sweat, spasmodic constriction of the chest or of the larynx, anguish, great weakness, body cold, pain in the pit of the stomach, and paroxysm of cough.

Violent and insupportable throbbing of the heart, chiefly when lying on the back. Irregular beatings (bradycardia) sometimes with anguish and cramps. Palpitation and trembling weakness after stool; must lie down. Palpitation after suppressed herpes or foot-sweat. Angina pectoris. Hydropericardium. Fatty degeneration.

Aconitum Napellus

Convulsions. Dyspnea. Liver enlargement. General Spasms. Spleen enlargement. Vomiting. Short breathing, chiefly during sleep, and on getting up. Breathing painful, anxious, and attended with groans, rapid and superficial, or full, noisy, and with the mouth open. Breathing slow during sleep. Breath hot. Breath fetid. Constriction and anxious oppression of the chest, with difficulty of breathing.

Tachycardia, anxiety, heat of body, chiefly in the face, and great weariness in the limbs. Heart Attack. Shootings in the region of the heart. Sensation of compression and blows in the region of the heart. Inflammation of the heart. Chronic diseases of the heart, with continuous pressure in the left side of the chest, oppressed breathing, stitches in the region of the heart, congestions to the head; attacks of fainting and tingling in the fingers. Fainting with tingling. Pulse full, strong, hard; slow, feeble; threadlike with anxiety; quick, hard, small.

Cactus Grandiflorus

Acts on circular muscular fibers, hence constrictions – the heart and arteries especially. Hemorrhage, constrictions, periodicity, and spasmodic pains. Atheromatous arteries and weak heart. Congestions; irregular distribution of blood. Favors formation of clots speedily. Great periodicity. Toxic goiter with cardiac symptoms. Pulseless, panting and prostrated. Fear of death.

Oppressed breathing. Constriction in chest, as if bound, hindering respiration. Inflammation of diaphragm. Heart-constriction. Angina pectoris. Palpitation; pain shooting down left arm. Hemoptysis, with convulsive, spasmodic cough. Diaphragmatic difficult breathing.

Endocarditis with mitral insufficiency together with violent and rapid action. Acts best in the incipiency of cardiac incompetence. Heart weakness of arterio-sclerosis. Tobacco heart. Violent palpitation. Angina pectoris, with suffocation, cold sweat, and ever-present iron band feeling. Pain in apex, shooting down left arm. Palpitation, with vertigo; dyspnea, flatulence. Constriction; very acute pains and stitches in heart; pulse feeble, irregular, quick, without strength. Endocardial murmurs, excessive impulse, increased precordial dullness, enlarged ventricle. Low blood pressure. Edema of hands and feet.

Arnica Montana

Angina pectoris; pain especially severe in elbow of left arm. Stitches in heart. Pulse feeble and irregular. Cardiac dropsy with distressing dyspnea. Extremities distended, feel bruised and sore. Fatty heart and hypertrophy.

Convallaria Majalis

Feeling as if heartbeat throughout the chest. Endocarditis, with extreme orthopnea. Sensation as if heart ceased beating, then starting very suddenly. Palpitation from the least exertion. Tobacco heart. Angina pectoris. Extremely rapid and irregular pulse. HOMOEOPATHY FOR Heart | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS

Lilium Tigrinum

Sensation as if heart were grasped in a vise. Feels full to bursting. Pulsations over whole body. Palpitation; irregular pulse; very rapid. Pain in cardiac region, with feeling of a load on chest. Cold feeling about heart. Suffocating feeling in a crowded and warm room. Angina pectoris.

Magnolia Grandiflora

Rheumatism and cardiac lesions are prominent features in the symptomatology of this medicine. Stiffness and soreness. Alternating pains between spleen and heart. Patient tired and stiff. Soreness when quiet. Erratic shifting of pains.

cardiomegaly – oppression of chest with inability to expand the lungs. Suffocated feeling when walking fast or lying on left side. Dyspnea. Crampy pain in heart. Angina pectoris. Endocarditis and pericarditis. Tendency to faint. Sensation as if heart had stopped beating. Pains around heart accompanied by itching of the feet.

Adrenalinum

Adrenaline or Epinephrine, the active principle of the medulla of the suprarenal gland, is employed as a chemical messenger in the regulation of the activities of the body, its presence is essential to the activity of the sympathetic nerve. Atheroma and heart diseases. Myocardial insufficiency – decreased contraction. relaxed muscular tissues of various organs/parts.

Phosphorus

Violent palpitation with anxiety, while lying on left side. Pulse rapid, small, and soft. Heart dilated, especially right. Feeling of warmth in heart. Congestion of lungs. Burning pains, heat and oppression of chest. Tightness across chest; great weight on chest. Sharp stitches in chest; respiration quickened, oppressed. Much heat in chest.

Kalium Bichromicum

The special affinities of this medicine are the mucous membrane of stomach, bowels, and air-passages, bones and fibrous tissues, kidneys, heart, and liver. Incipient parenchymatous; nephritis. Nephritis with gastric disturbances. Cirrhosis of liver. Anemia and absence of fever are characteristic. General weakness bordering on paralysis. It is especially indicated for fleshy, fat. Heart dilatation, especially from coexisting kidney lesion. Cold feeling around heart.

Lycopus Virginicus

Lower the blood pressure, reduces the rate of the heart and increases the length of systole to a great degree. Passive hemorrhages.

A good heart medicine, and of use in exophthalmic goiter and hemorrhoidal bleeding. Indicated in diseases with tumultuous action of the heart and more or less pain. Hemoptysis due to valvular heart disease. Beneficial in toxic goiter. Frontal headache; worse, frontal eminences. Labored heart. Rapid heart action of smokers. Precordial pain; constriction, tenderness, pulse, weak, irregular, intermittent, tremulous, rapid. Cyanosis. Heart’s action tumultuous and forcible. Palpitation from nervous irritation, with oppression around heart. Rheumatoid, flying pains, associated with heart disease. Cardiac asthma. CT scan showed a cardiomegaly with a giant left atrial and right sided | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS

Sumbulus Moschatus

Nervous palpitation. Neuralgia around left breast and left hypochondriac region. Cardiac asthma. Aching in left arm, heavy, numb a weary. Loses breath on any exertion. Pulse irregular. Functional, cardiac disorders. Numbness on becoming cold.

Crataegus Oxyacantha
Chronic heart disease, with extreme weakness. Aortic valve stenosis.  Endocarditis. Very feeble and irregular heart action. General anasarca. Painful sensation of pressure in left side of chest below the clavicle. Dyspepsia and nervous prostration, with heart failure. In the beginning of heart mischief after rheumatism. Arteriosclerosis.
Crataegus oxy have a solvent power upon crustaceous and calcareous deposits in arteries. Angina pectoris. Cardiac hypertrophy. Faintness and collapse, valvular disease. Hypertrophy from overexertion; from alcoholic, venereal and other excesses. Heart collapse in typhoid.

Cardiac dropsy. Fatty degeneration. Aortic disease. Extreme dyspnea on least exertion, without much increase of pulse. Pain in region of heart and under left clavicle. Heart muscles seem flabby, worn out. Cough (cardiac cough). First cardiac sound weak. Pulse accelerated, irregular, feeble, intermittent. Valvular murmurs. Cutaneous chilliness, cyanosis; all these symptoms aggravated by exertion or excitement. Sustains heart in infectious diseases. Excessive perspiration. Skin eruptions. Insomnia of aortic patients.

Digitalis

Angina pectoris. Aortic valve stenosis. Asthma. Bright’s disease. Cyanosis. Delirium tremens. Dropsy. Fever. Gonorrhea. Headache. Heart affections. Hydrocephalus. Lung’s congestion. Tinnitus.

Tachycardia with palpitations that can be heard (with slow pulse), anguish, and contraction in the sternum. On rising up in bed pulse becomes much more frequent and irregular and intermittent, confusion of heart, sudden sensation as though heart stood still, with great anxiety and necessity for holding breath, after dinner; must keep perfectly still. Aortic valve stenosis.

Peculiar sensation as though heart standing still; single, violent, slow heartbeats, with sudden violent heat in occiput, and transient unconsciousness (the whole lasting only a moment). Shifting pains in heart. Oppression must breathe deeper. Heart’s action has lost its force; beats more frequent, intermittent, irregular. Palpitation easily excited on going up slight ascent. Heart seems to dilate slowly; palpitation at each movement of body; slight uneasiness at heart, cold sweats.

Heart so weak that even sitting up in bed has caused fatal syncope. Attacks of angina brought on by any slight careless movement, especially of arms in an upward direction; inexpressible anxiety with fainting; for a moment heart seems to stand still, and then several rapid and violent pulsations occur, with sensation as if heart had torn itself loose and were swaying to and fro by a thin thread.

Cuprum Metallicum

Angina pectoris. Slow pulse; or hard, full and quick. Palpitation, precordial anxiety and pain. Fatty degeneration. Spasmodic affections. Cramps, convulsions.

Rauwolfia

Rauwolfia or ‘” Choti Chandan or Sarpa Gandha”, alkaloids work by controlling nerve impulses along certain nerve pathways. As a result, they act on the heart and blood vessels to lower blood pressure.

Rauwolfia-Q, due to its sedative action helps reduce high blood pressure including insanity-produced irritation of the central nervous system and alleviates its associated symptoms such as irregular beats, increased emotional excitability, and mild depression. Rauwolfia serpentina q is also used as a laxative, diuretic, and antidote to snake venom and helps during delivery to stimulate the uterine contractions and promote the expulsion of the fetus. It also helps to be used in the treatment of a person with some combination of hallucinations, delusions, and extremely disordered thinking and behavior that impairs daily functioning.

Kalmia latifolia

Angina pectoris. Headache. Endocarditis, Cardiac diseases. Rheumatism. Tobacco eaters/smokers. Difficult and oppressed breathing; throat feels swollen, nausea. Oppressed breathing with palpitation, anxiety; with pain (angina pectoris). Cardiomegaly Collection | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS

Feverish heat with great pain in chest. Rheumatism of muscles of thorax and back. Fluttering of heart. Tachycardia with anxiety, suppressed breathing; with faint feeling; with dyspnea, pain in limbs. Severe pain in cardiac region, slow, small pulse (hypertrophy, dilatation, aortic obstruction). Paroxysms of anguish about heart, dyspnea, febrile excitement; rheumatic endocarditis, with consequent hypertrophy and valvular disease. Wandering rheumatic pains in region of heart, Quickened but weak pulse. Pulse slow, weak; arms feel weak; scarcely perceptible, limbs cold. Febrile excitement. General heat; with burning and pain in back and loins. Cold sweat.

Glonoinum (Nitro-glycerine)
Angina pectoris. Endocarditis. Aphasia. Apoplexy. Aortic valve stenosis. Brain congestion. Bright’s disease. Convulsions. Epilepsy. Epistaxis. Fright effects. Goiter. Headache. Heart affections; Tachycardia; jarring effects. Paralysis. Rheumatism. Inclination to deep respiration. Sighing. Constriction and oppression of the chest with headache.

Tachycardia with heat in the face, accelerated pulse and pulsation of the carotid arteries, distinct pulsation over the whole body. In the heart sensation of fulness, heaviness, and heat, with labored beating of the heart. Pulse accelerated; rises and falls alternately; low and feeble in sunstroke. Severe stitches from the heart, extending into the back. Purring cardiac sounds when lying.

Naja Tripudians

Angina pectoris. Endocarditis. Asthma. Aortic valve stenosis. Headache. Cardiac diseases.  spasmodic esophagus. Asthmatic constriction of chest; cannot expand lungs; followed by mucous expectoration. Fluttering and palpitation of heart. Loud audible beating. Pulse slow and irregular in rhythm and force; weak and thready, scarcely perceptible. Action only recognized by pushing hand up behind sternum, then felt only a faint thrill resembling the cardiac thrill felt in the same way on a newborn infant.

Pulse rapid; and full; 120, some beats tolerably full and strong, afterwards 32, irregular in rhythm and force, some of the beats full and bounding. Cutting and aching in nape. Rheumatic pains in neck and back. Pain between the shoulders.

Adonis Vernalis

A heart medicine, after rheumatism or influenza, or Bright’s disease, where the muscles of the heart are in stage of fatty degeneration, regulating the pulse and increasing the power of contractions of heart, with increased urinary secretions. Aortic valve stenosis. Most valuable in cardiac dropsy. Low vitality, with weak heart and slow, weak pulse. Hydrothorax, ascites. Anasarca.

Heart Attack. Mitral and aortic regurgitation. Chronic aortitis, Fatty heart pericarditis. Rheumatic Endocarditis. Precordial pain, palpitation, and dyspnea. Marked venous engorgement. Cardiac asthma. Fatty heart. Myocarditis, irregular cardiac action, constriction and vertigo. Pulse rapid, irregular.

Aspidosperma Quebracho

Asthma, Cardiac asthma. Fever. Heart Attack.

Characteristics. Quebracho is a Brazilian fever remedy from which the alkaloid Aspidospermine has been isolated. Hale says Queb. produces in animals’ respiratory paralysis, slowed heart, and paralysis of extremities. It relieves dyspnea in phthisis and pleurisy, but without influencing the fever.aspidosperma - Quebracho | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS

The 1x relieved asthma with livid face; and dyspnea with cyanosis is frequently relieved by it.

Hale gives these cases as relieved by it:

1) Mitral incompetence and stenosis with severe nocturnal dyspnea. Aortic valve stenosis.

2) Fatty heart (Queb. had no influence on the oedema, which was removed by Dig.). Jos. P. Cobb (quoted A. H., xxvii. 74) records a case of heart affection of some duration in a man, 24. There was some enlargement, especially of right side, much dyspnea, and a slight mitral murmur.

Following this were signs of emphysema and severe attacks of asthma. Stool heard, and “pearls” of rounded gelatinous masses were expectorated. Aspidospermine 3x gave more relief than any other remedy.

Terminalia Arjuna

Cardiac asthma and bronchodilator. Aortic valve stenosis. An astringent, demulcent, expectorant, cardiotonic, styptic, antidysentery, urinary astringent, and has shown to be useful in fracture, ulcers, leukorrhea, diabetes, anemia, cardiomyopathy, endocarditis and cirrhosis. This homeopathic mother tincture can be used for improving cardiovascular health and it strengthens cardiac muscles and prevents any serious illness affecting it, anginal pain, hypertension, congestive heart failure, and dyslipidemia,

Helps in improving energy levels and reduces fatigue, reduces risk factors and has fewer side effects. Terminalia Arjuna is useful in both organic and functional diseases of the heart. Heart Attack.

Veratrum viride

Aortic valve stenosis. Mitral valve stenosis. Apoplexy. Asthma. Congestion. Convulsions. Endocarditis. Headache, nervous; sick. Myocardial infarction | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS

Congestion of chest with rapid respiration, nausea, vomiting; dull burning in region of heart. Violent palpitation of heart and faint feeling. Faintness and biliousness; when rising from lying; from sudden motion; lying quietly. Pulse: slow, soft and weak; irregular, intermittent; suddenly increases and gradually decreases below normal.

Heart Attack. Aching in neck and shoulder, almost impossible to hold head up. Pallor with syncope. Tremor. Spasm with violent shrieks; opisthotonos; face dark blue; breath suspended; lasting two minutes and recurring after few minutes’ interval. Convulsions. Chorea, movements continuing in sleep.

Amylenum Nitrosum

Dilation of all arterioles and capillaries, flushing of face, heat, and throbbing in the head. Superficial arterial hyperemia. Palpitation of the heart. Heart Attack. Dyspnea and asthmatic feelings. Aortic valve stenosis. Great oppression and fullness of chest; spasmodic, suffocative cough. Precordial anxiety. Tumultuous action of heart. Pain and constriction around heart. Fluttering at slightest excitement.

Calcarea Carbonica

Palpitation at night and after eating. Aortic valve stenosis. Palpitation with feeling of coldness, with restless oppression of chest; after suppressed eruption. Heart Attack. Pain as if sprained; can scarcely rise; from over lifting. Pain between shoulder-blades, impeding breathing. Rheumatism in lumbar region; weakness in small of back. Curvature of dorsal vertebrae. Nape of neck stiff and rigid. Renal colic. Swelling of joints, especially knee. Burning of soles of feet. Sweat of hands. Arthritic nodosities. Soles of feet raw. Feet feel cold and dead at night.

Baryta Carbonica

Baryta Cab accelerates the heart’s action to normal. Hypertension. Contracted blood vessels. Dry, suffocative cough, especially in old people. Stitches in chest; worse inspiration. Palpitation and distress in region of heart. Aneurysm. Aortic valve stenosis. Mitral valve stenosis. Heart Attack. Palpitation when lying on left side, when thinking of it especially; pulse full and hard. Cardiac symptoms after suppressed foot-sweat. Fetid foot-sweats. Pain in axillary glands. Cold, clammy feet.

Rhus Toxicodendron

Oppression of the chest cannot get breath with sticking pains. Cardia hypertrophy from overexertion. Pulse quick, weak, irregular, intermittent, with numbness of left arm. Heart Attack. Trembling and palpitation when sitting still. Aortic valve stenosis. Pain between shoulders on swallowing. Pain and stiffness in small of back; better, motion, or lying on something hard; worse, while sitting. Stiffness of the nape of the neck.

Kalium Carbonicum

Cutting pain in chest; worse lying on right side. Sensation as if heart were suspended. Aortic valve stenosis. Palpitation and burning in heart region. Weak, rapid pulse; intermits, due to digestive disturbance. Threatened heart failure. Heart Attack. Great exhaustion. Burning in spine. Severe backache during pregnancy, and after miscarriage.

Strophanthus Hispidus

Strophanthus is a muscle poison; it increases the contractile power of all striped muscles. Acts on theStrophanthus - hispidus | Homeopathic | Best Homeopathic Doctor in Pakistan | Dr Qaisar Ahmed MD, DHMS heart; increasing the systole and diminishes the rapidity. Aortic valve stenosis.

Dyspnea, especially on ascending. Lungs congested. edema of lungs. Bronchial and cardiac asthma. Pulse quickened. Heart’s action weak, rapid irregular, due to muscular debility; and insufficiency. Cardiac pain.

Apocynum Cannabinum

Short, dry cough. Respiratory short and unsatisfactory. Heart Attack. Oppression about epigastrium and chest. Aortic valve stenosis. Tricuspid regurgitation; rapid and feeble, irregular cardiac action, low arterial tension, pulsating jugulars, general cyanosis and general dropsy.

Edema and dropsy. Acute hydrocephalus. A diminished frequency of the pulse is a prime indication. This is one of homeopath’s most efficient remedies, in dropsies, ascites, anasarca, hydrothorax, and urinary troubles, especially suppression and strangury. Digestive complaints of Bright’s disease, with nausea, vomiting, drowsiness, difficult breathing. The dropsy is characterized by great thirst and gastric irritability. Arrhythmia. Mitral and tricuspid regurgitation. Alcoholism. Relaxation of sphincters.

Apis Melifistida

Hydrothorax. Sensation of soreness in the chest. Oppression of the chest, shortness of breath, dull aching pain in the left side of the chest near the middle of the sternum. Sudden pain just below the heart, soon extending toward right chest, with suffocation. Very feeble action of the heart; violent beats, shaking the whole body; intermittent beats. Heart Attack. Region of heart sensitive to least pressure; rasping sounds of systole and diastole unmistakably audible. Palpitation of heart with scanty secretion of urine, perfectly cured by establishing the natural quantity.

Pulse almost imperceptible at wrist; accelerated and full; very frequent and hard; wiry; irregular and slow pulse; intermittent.

P. S: This article is only for doctors having good knowledge about Homeopathy and allopathy, for learning purpose(s).

For proper consultation and treatment, please visit our clinic.

None of above-mentioned medicine(s) is/are the full/complete treatment but just hints for treatment; every patient has his/her own constitutional medicine.

Dr Qaisar Ahmed MD, DHMS.Gastroenterologist, Specialist Homeopathic Medicines.

  Senior research officer at Dnepropetrovsk state medical academy Ukraine.

Location:  Al-Haytham clinic, Umer Farooq Chowk Risalpur Sadder (0923631023, 03119884588), K.P.K, Pakistan.

Find more about Dr Sayed Qaisar Ahmed at:

https://www.youtube.com/Dr Qaisar Ahmed

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https://www.drqaisarahmed.com

By Dr Qaisar Ahmed

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