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Atrial myxoma

ბოლო მიმოხილვა: 18 Aug 2025
ბოლო განახლება: 12 Sep 2023

შეჯამება

განსაზღვრება

ანამნეზი და გასინჯვა

ძირითადი დიაგნოსტიკური ფაქტორები

  • dyspnea
  • syncope
  • dizziness
  • CHF/pulmonary edema
  • embolic manifestations
  • systolic or diastolic murmur
  • tumor plop
სრული ტექსტი

სხვა დიაგნოსტიკური ფაქტორები

  • weight loss
  • fatigue
  • fever
  • pallor
  • arthralgia
  • Raynaud phenomenon
  • loud first heart sound
  • opening snap
  • Carney complex
  • intracerebral aneurysm
სრული ტექსტი

რისკფაქტორები

  • family history of atrial myxoma
  • female sex
  • age 40-60 years
სრული ტექსტი

დიაგნოსტიკური კვლევები

1-ად შესაკვეთი გამოკვლევები

  • echocardiogram
  • ECG
  • CBC
  • CXR
სრული ტექსტი

გასათვალისწინებელი კვლევები

  • erythrocyte sedimentation rate
  • C-reactive protein
  • protein electrophoresis
  • CT scan (chest)
  • MRI scan (chest)
  • biopsy
სრული ტექსტი

მკურნალობის ალგორითმი

მწვავე

surgical candidate

non-surgical candidate

კონტრიბუტორები

ავტორები

Syed Wamique Yusuf, MBBS, FRCPI
Syed Wamique Yusuf

Professor of Medicine

Department of Cardiology

University of Texas MD Anderson Cancer Center

Houston

TX

გაფრთხილება:

SWY declares that he has no competing interests.

მადლიერება

Dr Syed Wamique Yusuf would like to gratefully acknowledge the assistance of Dr Daniel J. Lenihan.

გაფრთხილება:

DJL declares that he has no competing interests.

რეცენზენტები

Paul Heidenreich, MD

Associate Professor of Medicine

Stanford University

Stanford

CA

გაფრთხილება:

PH declares that he has no competing interests.

Richard Steingart, MD

Chief

Cardiology Service

Memorial Sloan-Kettering Cancer Center

New York

NY

გაფრთხილება:

RS declares that he has no competing interests.

Barry Kneale, MD, FRCP

Integrated Lead Cardiologist

Western Sussex Hospitals NHS Trust and Cardiac Department

Worthing Hospital

Worthing

UK

利益声明

BK declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore). 2001 May;80(3):159-72. 摘要

Edwards A, Bermudez C, Piwonka G, et al. Carney's syndrome: complex myxomas. Report of four cases and review of the literature. Cardiovasc Surg. 2002 Jun;10(3):264-75. 摘要

Grossniklaus HE. McLean IW, Gillespie JJ. Bilateral eyelid myxomas in Carney's complex. Br J Ophthalmol. 1991 Apr;75(4):251-2.全文  摘要

Ohara N, Komiya I, Yamauchi K, et al. Carney's complex with primary pigmented nodular adrenocortical disease and spotty pigmentations. Intern Med. 1993 Jan;32(1):60-2.全文  摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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