Long-lasting symptoms and diagnostics in a patient with unrecognized right sided heart failure: Why listening to the heart is so important
Long-lasting symptoms and diagnostics in a patient with unrecognized right sided heart failure: Why listening to the heart is so important作者机构:Department of Cardiology Erasmus MC 230 3015 CE Rotterdam The Netherlands
出 版 物:《World Journal of Cardiology》 (世界心脏病学杂志(英文版)(电子版))
年 卷 期:2014年第6卷第5期
页 面:345-348页
学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题:Ebstein Congenital cardiology Auscultation Pregnancy Liver
摘 要:M Ebstein is usually diagnosed in early childhood or ad-olescence. The young woman in our case complainted of fatigue and shortness of breath, on physical exami-nation she showed signs of heart failure with raised central venous pressure, palpable liver, an a cardiac murmer. Based on these findings she should have been referred to a cardiologist in an early stage after which transthoracic echocardiography resulted in the correct diagnosis. In this case the anomaly was missed for many years by different specialists and the patient was treated for liver disease, while she was suffering from liver congestion due to right-sided heart failure.