Arakelyanz Amaliya A, Morozova Tatiana E, Vlasova Anna V, Lischke Roman
Assistant Professor, Department of General Practice I. M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, 119991, Trubetskaya Str. 8, Bld. 2 Moscow, Russian Federation.
Medical Student, University Eye Hospital Munich, Centrum of Refractive Therapy (CRT), Mathildenstraβe 8, 80336 Munich, Germany.
Br J Cardiol. 2020 Jan 29;27(1):03. doi: 10.5837/bjc.2020.003. eCollection 2020.
This short review of cardiac tumours presents a case that clearly demonstrates the manifestation of embolic and cardiac symptoms of an intracardiac mass. Acute onset and rapid progression of a neoplastic process in the heart leading to arrhythmia, cardiac conduction disorders and heart failure combined with highly mobile fragments of tumour, which can cause emboli in cerebral vessels, are characteristic signs of an intracardiac mass. Early diagnosis and immediate treatment may improve the long-term prognosis, but overall the prognosis is poor. Cardiac tumours present to the cardiologist when the patient presents with cardiac symptoms, and the neurologist when there are cerebral symptoms. Most cardiac masses are not amenable to percutaneous biopsy; therefore, definitive diagnosis often awaits surgical excision.
这篇关于心脏肿瘤的简短综述介绍了一个病例,该病例清楚地展示了心内肿物的栓塞和心脏症状表现。心脏肿瘤性病变的急性发作和快速进展导致心律失常、心脏传导障碍和心力衰竭,同时伴有高度活动的肿瘤碎片,可导致脑血管栓塞,这些都是心内肿物的特征性表现。早期诊断和及时治疗可能改善长期预后,但总体预后较差。当患者出现心脏症状时,心脏肿瘤会被心内科医生发现;当出现脑部症状时,则会被神经科医生发现。大多数心脏肿物不适合进行经皮活检;因此,明确诊断往往要等待手术切除。