Last reviewed: 5 Oct 2024
Last updated: 12 Sep 2023
Summary
Definition
History and exam
Key diagnostic factors
- dyspnea
- syncope
- dizziness
- CHF/pulmonary edema
- embolic manifestations
- systolic or diastolic murmur
- tumor plop
Full details
Other diagnostic factors
- weight loss
- fatigue
- fever
- pallor
- arthralgia
- Raynaud phenomenon
- loud first heart sound
- opening snap
- Carney complex
- intracerebral aneurysm
Full details
Risk factors
- family history of atrial myxoma
- female sex
- age 40-60 years
Full details
Diagnostic tests
1st tests to order
- echocardiogram
- ECG
- CBC
- CXR
Full details
Tests to consider
- erythrocyte sedimentation rate
- C-reactive protein
- protein electrophoresis
- CT scan (chest)
- MRI scan (chest)
- biopsy
Full details
Treatment algorithm
ACUTE
surgical candidate
non-surgical candidate
Contributors
Authors
Syed Wamique Yusuf, MBBS, FRCPI
Professor of Medicine
Department of Cardiology
University of Texas MD Anderson Cancer Center
Houston
TX
Disclosures
SWY declares that he has no competing interests.
Acknowledgements
Dr Syed Wamique Yusuf would like to gratefully acknowledge the assistance of Dr Daniel J. Lenihan.
Disclosures
DJL declares that he has no competing interests.
Peer reviewers
Paul Heidenreich, MD
Associate Professor of Medicine
Stanford University
Stanford
CA
Disclosures
PH declares that he has no competing interests.
Richard Steingart, MD
Chief
Cardiology Service
Memorial Sloan-Kettering Cancer Center
New York
NY
Disclosures
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
Disclosures
BK declares that he has no competing interests.
Differentials
- Mitral stenosis
- Infective endocarditis
- Atrial thrombus
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