PDF(Pubmed)
Abstract：
Atrial myxoma, though the most common primary cardiac tumor, often presents with nonspecific symptoms that can obscure its diagnosis. This case report details an unusual presentation of dyspnea on exertion (DOE) in a patient initially considered to have chronic obstructive pulmonary disease (COPD), a common pulmonary etiology of DOE. The diagnostic journey underscores the critical importance of considering atrial myxoma in patients with DOE, especially when symptoms are not fully explained by apparent pulmonary conditions. Our findings highlight the necessity of a comprehensive diagnostic approach, including the early use of resting transthoracic echocardiogram, to unveil less common causes like atrial myxoma. This case reinforces the pivotal role of considering alternative diagnoses in complex presentations of DOE, thereby guiding more accurate and tailored patient management.
摘要：
心房粘液瘤,虽然是最常见的原发性心脏肿瘤，通常表现为非特异性症状，可以模糊其诊断。该病例报告详细介绍了最初被认为患有慢性阻塞性肺疾病（COPD）的患者的运动时呼吸困难（DOE）的异常表现。DOE的常见肺部病因。诊断过程强调了DOE患者考虑心房粘液瘤的重要性，特别是当症状不能完全由明显的肺部疾病解释时。我们的发现强调了全面诊断方法的必要性，包括早期使用静息经胸超声心动图，揭示不太常见的原因，如心房粘液瘤。这个案例加强了在DOE的复杂表现中考虑替代诊断的关键作用，从而指导更准确和量身定制的患者管理。
