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An unusual echocardiographic image of a hiatal hernia
Ivano Bonadei1, Cristian Maiandi, Enrico Vizzardi
1Department of Applied Experimental Medicine, Section of Cardiovascular Disease, University of Brescia, Italy. ivano.bonadei@libero.it
Insights
Diagnosis of hiatal hernia (HH) is usually via barium X-ray or endoscopy. This case shows HH can also be detected using echocardiography, a heart imaging test, in patients experiencing palpitations.
Area of Science:
- Cardiology
- Gastroenterology
Background:
- Hiatal hernia (HH) diagnosis typically involves upper gastro-intestinal barium X-ray or endoscopy.
- Echocardiography is primarily used for cardiac assessments.
Observation:
- A female patient presented with palpitations.
- An echocardiogram was performed for her cardiac evaluation.
Findings:
- The echocardiogram incidentally revealed a hiatal hernia.
- This highlights an unexpected diagnostic capability of echocardiography.
Implications:
- Echocardiography may serve as a complementary diagnostic tool for hiatal hernia.
- This finding could lead to earlier HH detection in specific patient populations.
Abstract:
Diagnosis of a hiatal hernia (HH) is typically made using an upper gastro-intestinal barium X-ray. A complementary test is gastroscopy or upper-intestinal endoscopy. There are reports in which HH has been diagnosed by echocardiography. We here describe a case of a HH visible on an echocardiogram in a female with palpitations.
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