• Postgraduate medicine · May 2024

    Review

    The cardiovascular effects of large hiatal hernias: a narrative review of cases and studies.

    • Raimundo Carmona-Puerta, Denise Pérez-Sanchez, Jorge M Pichardo-Ureña, José L Rodríguez-Monteagudo, and Elizabeth Lorenzo-Martínez.
    • Vice-chancellorship of Research and Postgraduate Affairs, Catholic University of Cibao, La Vega, Dominican Republic.
    • Postgrad Med. 2024 May 1; 136 (4): 358365358-365.

    AbstractHiatal hernia (HH) is a common disease in the general population. It is often asymptomatic, but if it does present clinical manifestations, these are usually gastrointestinal. Gastroesophageal reflux is the main symptom that accompanies it. Depending on the severity of the hernia, it is classified into several subtypes from I-IV. Especially, IV type (giant HH) can lead to various cardiopulmonary symptoms with several degrees of severity. It is necessary to keep this possibility in mind among the various differential diagnoses that may occur in this clinical setting. The current paper aims to review the literature on classic and novel information on the HH - cardiovascular system relationship. Epidemiological data, physiological aspects of the heart compressed by HH, cardiovascular symptoms, electrocardiographic changes, echocardiographic alterations and clinical implications are discussed.

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