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Medical management of a suspected atrial myxoma in a nonagenarian.

作者信息

Kawall Jessica, Seecheran Rajeev, Seecheran Valmiki, Persad Sangeeta, Maharaj Stefan, Seecheran Naveen Anand

机构信息

Department of Medicine, North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago.

Department of Radiology, South West Regional Health Authority, San Fernando Teaching Hospital, Trinidad and Tobago.

出版信息

SAGE Open Med Case Rep. 2020 Jul 7;8:2050313X20933484. doi: 10.1177/2050313X20933484. eCollection 2020.

DOI:10.1177/2050313X20933484
PMID:32685152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7343351/
Abstract

Cardiac myxomas are the most frequently encountered tumors of the heart. However, they are unusual to be newly diagnosed in the geriatric population. Myxomas are among the great mimickers, with a myriad of clinical presentations related to heart failure, embolic events, and constitutional symptoms. We describe a rare case of a giant atrial myxoma in a nonagenarian presenting with heart failure, which was medically managed.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7141/7343351/be6d15940b04/10.1177_2050313X20933484-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7141/7343351/a5cc30d0cbd4/10.1177_2050313X20933484-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7141/7343351/be6d15940b04/10.1177_2050313X20933484-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7141/7343351/a5cc30d0cbd4/10.1177_2050313X20933484-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7141/7343351/be6d15940b04/10.1177_2050313X20933484-fig2.jpg

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本文引用的文献

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J Am Heart Assoc. 2019 Jan 8;8(1):e007829. doi: 10.1161/JAHA.117.007829.
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Outcomes Associated With Apixaban Use in Patients With End-Stage Kidney Disease and Atrial Fibrillation in the United States.美国终末期肾病伴房颤患者应用阿哌沙班的结局。
Circulation. 2018 Oct 9;138(15):1519-1529. doi: 10.1161/CIRCULATIONAHA.118.035418.
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Acute heart failure related to a large left atrial myxoma.
与巨大左房黏液瘤相关的急性心力衰竭
Proc (Bayl Univ Med Cent). 2018 Apr 9;31(3):331-333. doi: 10.1080/08998280.2018.1446641. eCollection 2018 Jul.
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Safety and Efficacy of Apixaban Versus Warfarin in Patients With Advanced Chronic Kidney Disease.阿哌沙班与华法林用于晚期慢性肾脏病患者的安全性和疗效。
Ann Pharmacother. 2018 Nov;52(11):1078-1084. doi: 10.1177/1060028018781853. Epub 2018 Jun 5.
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Pleiotropic Effects of Statins on the Cardiovascular System.他汀类药物对心血管系统的多效性作用
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Rate control in atrial fibrillation: many questions still unanswered.心房颤动的心率控制:许多问题仍未得到解答。
Circulation. 2015 Oct 27;132(17):1597-9. doi: 10.1161/CIRCULATIONAHA.115.018952. Epub 2015 Sep 17.
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Cardiac MR assessment of cardiac myxomas.心脏黏液瘤的心脏磁共振评估。
Br J Radiol. 2015 Jan;88(1045):20140599. doi: 10.1259/bjr.20140599.
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Interventions to improve the appropriate use of polypharmacy for older people.改善老年人合理使用多种药物的干预措施。
Cochrane Database Syst Rev. 2014 Oct 7(10):CD008165. doi: 10.1002/14651858.CD008165.pub3.
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