Özpak Emine, Defruyt Loran, Braeckeveldt Laura, Czapla Jens, Vandecasteele Els
Department of Cardiology, University Hospital Ghent, Gent, Belgium.
Department of Medicine, University of Ghent, Gent, Belgium.
Acta Clin Belg. 2022 Feb;77(1):153-156. doi: 10.1080/17843286.2020.1794510. Epub 2020 Jul 20.
In this article, we report a patient with new-onset dyspnea and symptoms suggestive of heart failure, who had an unexpected diagnosis of a large left atrial myxoma with diastolic protrusion into the left ventricle. We further underline the role of cardiac Point-of-Care Ultrasound (POCUS) in the initial evaluation of patients with cardiac complaints in the emergency room setting. It can help to differentiate the patients' symptoms in order to achieve a more accurate diagnosis and thus increase the efficacy of the established therapy. In some cases, as with this patient, it can help to establish a diagnosis which needs prompt therapy.
在本文中，我们报告了一名新发呼吸困难且有心力衰竭症状的患者，其意外诊断为巨大左心房黏液瘤，舒张期瘤体突入左心室。我们进一步强调了床旁心脏超声（POCUS）在急诊室对有心脏不适患者进行初始评估中的作用。它有助于鉴别患者的症状，以实现更准确的诊断，从而提高既定治疗的疗效。在某些情况下，比如该患者，它有助于确立需要及时治疗的诊断。
