Small heart syndrome is associated with a small heart shadow on a chest X-ray or magnetic resonance imaging. It was first proposed in 1944 as "neurocirculatory asthenia." Current studies show that small heart syndrome is associated with a smaller left ventricular chamber size and diminished cardiac stroke volume.This is characterized by weakness or fatigue even after ordinary exertion, palpitation, dyspnea, and fainting, resembling patients with chronic fatigue syndrome (CFS). I have seen people with small heart shadow in X-ray chest saying not able to do the work as they were doing previously.
On analysis, it was found out that compared to their previous weight to the present one, there is an increase of weight of more than 50%. Otherwise, their present weight is one and a half times than their previous one.Echo will be reported as normal. The important clinical finding is hypotension…