den Uil Corstiaan A, Caliskan Kadir, Balk Aggie H M M
Erasmus MC, Thoraxcentrum, afd. Cardiologie, Rotterdam, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A238.
A large number of intra-abdominal and extra-abdominal diseases may give rise to abdominal symptoms. Two patients are discussed who presented with abdominal pain due to severe heart failure. Initially, this diagnosis was overlooked, since abdominal complaints are rarely the primary symptoms of this condition. The authors argue that heart failure, the overall prevalence of which is increasing, should be considered in the differential diagnosis of any patient who presents with abdominal pain. In addition, they propose a systematic diagnostic approach for reaching an individualised diagnosis and therapy directed at heart failure.
大量腹内和腹外疾病可能引发腹部症状。本文讨论了两名因严重心力衰竭而出现腹痛的患者。最初，这一诊断被忽视了，因为腹部症状很少是这种疾病的主要症状。作者认为，心力衰竭的总体患病率正在上升，在对任何出现腹痛的患者进行鉴别诊断时都应考虑到这一点。此外，他们提出了一种系统的诊断方法，以实现针对心力衰竭的个体化诊断和治疗。
