PDF(Pubmed)
Abstract：
Dysphagia is a common clinical symptom in older people that can be attributed to a wide range of diseases, extending from neoplasm to gastroesophageal reflux diseases such as stroke or achalasia. We are presenting a case of a 78-year-old male with a history of heart failure with preserved ejection fraction and progressive dysphagia, due to a rare case, namely, dysphagia megalatriensis. Even though left ventricular ejection fraction was preserved, the patient improved, when we provided him with optimal medical heart failure with reduced ejection fraction treatment. In our case report, we intend to highlight the benefits of optimized medical therapy in a patient with heart failure with preserved ejection fraction, due to mitral valve regurgitation leading to a hugely dilated left atrium.
摘要：
吞咽困难是老年人常见的临床症状，可归因于多种疾病，从肿瘤延伸到胃食管反流病，如中风或贲门失弛缓症。我们正在介绍一个78岁的男性，有心力衰竭病史，射血分数保留和进行性吞咽困难，由于一个罕见的病例,即,吞咽困难.即使保留了左心室射血分数，病人好转了,当我们为他提供最佳的医疗心力衰竭和降低射血分数的治疗时。在我们的案例报告中，我们打算强调优化药物治疗在射血分数保留的心力衰竭患者中的益处，由于二尖瓣反流导致左心房扩张。
