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Mixoma atrial

Last reviewed: 24 Mar 2025
Last updated: 12 Sep 2023

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • dispneia
  • síncope
  • tontura
  • insuficiência cardíaca congestiva (ICC)/edema pulmonar
  • manifestações embólicas
  • sopro sistólico ou diastólico
  • "plop" do tumor
Full details

Other diagnostic factors

  • perda de peso
  • fadiga
  • febre
  • palidez
  • artralgia
  • Fenômeno de Raynaud
  • primeira bulha cardíaca hiperfonética
  • estalido de abertura
  • Complexo de Carney
  • aneurisma intracerebral
Full details

Risk factors

  • história familiar de mixoma atrial
  • sexo feminino
  • idade de 40-60 anos
Full details

Diagnostic investigations

1st investigations to order

  • ecocardiograma
  • eletrocardiograma (ECG)
  • Hemograma completo
  • radiografia torácica
Full details

Investigations to consider

  • velocidade de hemossedimentação
  • proteína C-reativa
  • eletroforese de proteínas
  • tomografia computadorizada (TC) do tórax
  • ressonância nuclear magnética (RNM) do tórax
  • biópsia
Full details

Treatment algorithm

ACUTE

candidato à cirurgia

não candidato à cirurgia

Contributors

Authors

Syed Wamique Yusuf, MBBS, FRCPI
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.

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.

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