Department of Cardiology, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
J Cardiovasc Med (Hagerstown). 2012 Apr;13(4):274-6. doi: 10.2459/JCM.0b013e3283511f2d.
A 77-year-old woman presented with dyspnoea and respiratory-related thoracic pain, which was accompanied by dizziness and fatigue but no syncopal attacks. Auscultation of the heart disclosed an opening snap with mid-diastolic murmur. Laboratory assessment revealed no abnormalities but an elevated D-dimer level (1.49 mg/l). Electrocardiography was normal. The chest radiograph showed an enlarged heart without other abnormalities. Computed tomography (CT) scan for a suspected diagnosis of pulmonary embolism was performed. The CT scan did not reveal pulmonary embolism, but a large cardiac tumour in the left atrium.
一位 77 岁女性因呼吸困难和与呼吸相关的胸痛就诊，伴有头晕和疲劳，但无晕厥发作。心脏听诊显示中期舒张期杂音伴有开瓣音。实验室检查未见异常，但 D-二聚体水平升高（1.49mg/l）。心电图正常。胸部 X 线片显示心脏增大，无其他异常。为疑似肺栓塞进行了计算机断层扫描（CT）检查。CT 扫描未发现肺栓塞，但左心房有一个大的心脏肿瘤。
