曾经有一次...一个心房肌瘤:一个延迟诊断的病例报告
Raffaele Carluccio1,2, Teresa Russo1, Giuseppe Cioffi3
1Department of Critical Care, Unit of Cardiology and Intensive Coronary Care, Area Stabiese United Hospitals, "San Leonardo" Hospital, Castellammare di Stabia, Italy.
Journal of cardiovascular echography
|October 20, 2025
概括
耳前肌瘤 (AM) 是一种常见的心脏瘤,可以模仿等神经系统疾病. 早期的心脏评估对于准确诊断和及时治疗这种罕见的良性瘤至关重要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 在瘤学瘤学.
背景情况:
- 肌瘤是最常见的初级心脏瘤,通常是良性的.
- 临床表现可能是微妙的,由于症状与其他疾病重叠,包括神经系统疾病,往往被误诊.
- 耳前肌瘤 (AM) 可能出现非特异性症状,延迟诊断.
研究的目的:
- 为了强调心房肌瘤的诊断挑战.
- 强调在患有神经症状的患者中考虑心脏病因的重要性.
- 强调在特定的临床场景中及时进行心脏评估的必要性.
主要方法:
- 一个患有的病人的病例报告,出现昏迷和发作.
- 审查临床表现,诊断工作和心房瘤的管理.
- 强调心脏评估,包括心电图和心声回声图.
主要成果:
- 患者的昏迷和发作症状最初被归因于.
- 一个全面的心脏评估显示了心房瘤.
- 由于非特异性和重叠的症状,AM的延迟诊断可能会发生.
结论:
- 耳前肌瘤可以表现为神经症状,模仿其他疾病.
- 对于患有不明原因昏迷或的患者,进行彻底的心脏评估是必不可少的.
- 早期诊断和管理心房肌瘤对于预防并发症至关重要.
相关概念视频
Mitral Stenosis II: Clinical features and Diagnostic Tests
215
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
215
Mitral Valve Prolapse II: Assessment and Management
411
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
411
Aneurysm II: Clinical Manifestations and Diagnostic Studies
288
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
288
Cardiomyopathy III: Hypertrophic Cardiomyopathy
399
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
399
Myocarditis II: Clinical Features and Diagnostic Tests
260
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
260
Mitral Regurgitation II: Clinical Features and Diagnostic Tests
361
Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
361


