Echocardiogram in Left Atrial Myxoma
1973; Elsevier BV; Volume: 63; Issue: 3 Linguagem: Inglês
10.1378/chest.63.3.423
ISSN1931-3543
AutoresThomas T. Schattenberg, A. Jamil Tajik, Gerald T. Gau,
Tópico(s)Cardiac tumors and thrombi
ResumoA 52-year-old woman was referred to the Mayo Clinic for cardiac evaluation. She was in good health until two years ago when she started experiencing episodes of tachycardia (pulse rate, 150 to 160/min). These episodes would last for hours and occurred two to three times per week. She had no history of rheumatic fever, hypertension, angina, or syncope. Treatment with digoxin stopped the episodes of tachycardia. Eight days prior to admission to this clinic, complete blindness suddenly developed in her left eye, her speech was slurred, and she noted clumsiness of her right hand. Funduscopic examination confirmed the diagnosis of central retinal artery occlusion. Cardiac examination revealed a regular pulse of 110 beats/min and blood pressure of 130/70 mm Hg. A bifid apical impulse was noted. Jugular venous pressure and carotid upstroke were normal. The first heart sound was loud. A grade 1/6 apical systolic murmur and an intermittent grade 1/6 apical diastolic rumble were recorded. A sound in diastole was also heard inconsistently.
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