Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • dyspnoea
  • syncope
  • dizziness
  • CHF/pulmonary oedema
  • embolic manifestations
  • systolic or diastolic murmur
  • tumour plop

Other diagnostic factors

  • weight loss
  • fatigue
  • fever
  • pallor
  • arthralgia
  • Raynaud's phenomenon
  • loud first heart sound
  • opening snap
  • Carney's complex

Risk factors

  • FHx of atrial myxoma
  • female sex
  • age 40-60 years

Diagnostic investigations

1st investigations to order

  • echocardiogram
  • ECG
  • FBC
  • CXR
Full details

Investigations to consider

  • ESR
  • C-reactive protein
  • protein electrophoresis
  • CT scan (chest)
  • MRI scan (chest)
  • biopsy
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Syed Wamique Yusuf

Professor of Medicine

Department of Cardiology

University of Texas MD Anderson Cancer Center

Houston

TX

Disclosures

SWY declares that he has no competing interests.

Dr Syed Wamique Yusuf would like to gratefully acknowledge the assistance of Dr Daniel J. Lenihan. DJL declares that he has no competing interests.

Peer reviewers VIEW ALL

Associate Professor of Medicine

Stanford University

Stanford

CA

Disclosures

PH declares that he has no competing interests.

Chief

Cardiology Service

Memorial Sloan-Kettering Cancer Center

New York

NY

Disclosures

RS declares that he has no competing interests.

Integrated Lead Cardiologist

Western Sussex Hospitals NHS Trust and Cardiac Department

Worthing Hospital

Worthing

UK

Disclosures

BK declares that he has no competing interests.

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