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LA Myxoma presenting as recurrent syncope
Open accessAbstract
Dear Editor We report here a case of a left atrial myxoma which presented with recurrent syncope. A 45 year old woman presented with dyspnoea Class IIb. There was a history of Orthopnoea and Paroxysmal Nocturnal Dyspnoea, Low Grade Fever and Weight Loss. She gave history of Syncope specially with change of position and posture. On EXAMINATION she was nonmotensive with tachycardia. She had anemia with clubbing. On auscultation first and second heart sounds were normal. She had a middiastolic rumble. Diagnosis of mitral valvular heart disease with or without endocarditis was thought. Her investigations showed onxray chest cardiomegaly with prominent Upper Lobar Pulmonary Veins, Haemogram was Normal except raised ESR. ECG showed Incomplete RBBB. ECHO showed a large mass arising from inter atrial septum moving to and fro across mitral valve. Patient was subjected to surgery with removal of mass, which on histopathology proved to be Myxoma. This case highlights the importance of ECHO in a case of syncope. Echocardiogram showing myxoma in left atrium during systole Myxoma prolapsing into left ventricle during diastole
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“Aortic stenosis, obstructive cardiac tumours or thrombi, pericardial tamponade, and aortic dissection are the most prob- able causes of syncope when the electrocardiogram shows the typical features of these conditions. 237-244”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [242]
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2018 ESC Guidelines for the diagnosis and management of syncope
Brignole, M., Moya, A., de Lange, F. J., Deharo, J.-C., Elliott, P. M., Fanciulli, A., Fedorowski, A., Furlan, R., Kenny, R. A., Martín, A., et al. (2018) · European Heart Journal · doi:10.1093/eurheartj/ehy037 · Cited by 1,951
2018 ESC Guidelines for the diagnosis and management of syncope
Brignole, M., Moya‐Mitjans, À., de Lange, F. J., Deharo, J., Elliot, P. M., Fanciulli, A., Fedorowski, A., Furlan, R., Kenny, R. A., Martiın, A., et al. (2018) · Kardiologia Polska · doi:10.5603/kp.2018.0161 · Cited by 475
Metadata
- Authors
- Sinha, A. K., & Singh, B. P.
- Affiliations
- Indira Gandhi Institute of Medical Sciences (IN)
- Corresponding author
- Sinha, Ajay Kumar
- Venue
- Indian Heart Journal
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 65
- Issue
- 5
- Pages
- 643
- ISSN
- 0019-4832 (ISSN-L)
- PMC
- PMC3860859
- OpenAlex
- W2006036287
- Cited by
- 2
- References
- 0
- Citations by year
- 2018: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Indian Heart Journal (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac tumors and thrombi
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cardiovascular and Diving-Related Complications
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Infective Endocarditis Diagnosis and Management
- Keywords
- left atrial myxoma, recurrent syncope, cardiac myxoma, mitral valve prolapse, echocardiographic diagnosis, surgical resection
- MeSH terms
- Biopsy, Needle, Diagnosis, Differential, Female, Heart Atria, Heart Neoplasms, Cardiac Surgical Procedures, Humans, Immunohistochemistry, Middle Aged, Myxoma, Recurrence, Syncope, Echocardiography, Doppler, Treatment Outcome
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- The paper
- Sinha, A. K., & Singh, B. P. (2013). LA Myxoma presenting as recurrent syncope. Indian Heart Journal. https://doi.org/10.1016/j.ihj.2013.08.001