Myxoma history and symptoms: Difference between revisions

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The clinical features of cardiac myxoma are determined by their location, size, and mobility, and there is no hallmark sign or symptom.<ref name="pmid1434856">{{cite journal |vauthors=Tazelaar HD, Locke TJ, McGregor CG |title=Pathology of surgically excised primary cardiac tumors |journal=Mayo Clin. Proc. |volume=67 |issue=10 |pages=957–65 |year=1992 |pmid=1434856 |doi= |url=}}</ref> Symptoms may occur at any time, but most often they tend to occur with changes in body position. Common symptoms include: [[chest pain]], [[palpitation]], [[dizziness]], [[syncope]] and [[dyspnea on exertion]]. About 20% of cardiac myxomas are asymptomatic at the time of diagnosis.<ref name="pmid18350919">{{cite journal |vauthors=Vaideeswar P, Butany JW |title=Benign cardiac tumors of the [[pluripotent]] [[mesenchyme]] |journal=Semin Diagn Pathol |volume=25 |issue=1 |pages=20–8 |year=2008 |pmid=18350919 |doi= |url=}}</ref>
The clinical features of cardiac myxoma are determined by their location, size, and mobility, and there is no hallmark sign or symptom.<ref name="pmid1434856">{{cite journal |vauthors=Tazelaar HD, Locke TJ, McGregor CG |title=Pathology of surgically excised primary cardiac tumors |journal=Mayo Clin. Proc. |volume=67 |issue=10 |pages=957–65 |year=1992 |pmid=1434856 |doi= |url=}}</ref> Symptoms may occur at any time, but most often they tend to occur with changes in body position. Common symptoms include: [[chest pain]], [[palpitation]], [[dizziness]], [[syncope]] and [[dyspnea on exertion]]. About 20% of cardiac myxomas are asymptomatic at the time of diagnosis.<ref name="pmid18350919">{{cite journal |vauthors=Vaideeswar P, Butany JW |title=Benign cardiac tumors of the [[pluripotent]] [[mesenchyme]] |journal=Semin Diagn Pathol |volume=25 |issue=1 |pages=20–8 |year=2008 |pmid=18350919 |doi= |url=}}</ref>
Clinical features can be categorized as: <ref> Atrial Myxoma.Radiopedia.http://radiopaedia.org/articles/cardiac-myxoma Accessed on November 20, 2015 </ref>
'''Valvular obstruction'''
*Left sided: dyspnea, orthopnea, pulmonary edema
*Right sided: symptoms of right heart failure
'''Embolic event'''
*Distribution will depend on location of tumor
*Most are left sided, and therefore most are systemic (brain or extremities)
'''Constitutional symptoms'''
*Weight loss, fatigue, weakness
*May resemble infective endocarditis (fever, arthralgia, lethargy)


==History ==
==History ==

Revision as of 21:45, 24 November 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief:Maria Fernanda Villarreal, M.D. [2] Cafer Zorkun, M.D., Ph.D. [3] Ahmad Al Maradni, M.D. [4]

Overview

The clinical features of cardiac myxoma are determined by their location, size, and mobility, and there is no hallmark sign or symptom.[1] Symptoms may occur at any time, but most often they tend to occur with changes in body position. Common symptoms include: chest pain, palpitation, dizziness, syncope and dyspnea on exertion. About 20% of cardiac myxomas are asymptomatic at the time of diagnosis.[2]

History

Symptoms associated with cardiac myxomas are typically due to the effect of the mass of the tumor obstructing the normal blood flow within the heart chambers. Left atrial myxoma symptoms may mimic mitral stenosis, while right atrial myxomas rarely produce symptoms until they have grown to be at least 13 cm wide. [3] General symptoms may also mimic those of infective endocarditis.[4]

Common Symptoms

Symptoms may occur at any time, but most often they accompany a change of body position. Symptoms may include:[5]

The symptoms and signs of left atrial myxomas often mimic mitral stenosis. General symptoms may also be present, such as:

References

  1. Tazelaar HD, Locke TJ, McGregor CG (1992). "Pathology of surgically excised primary cardiac tumors". Mayo Clin. Proc. 67 (10): 957–65. PMID 1434856.
  2. Vaideeswar P, Butany JW (2008). "Benign cardiac tumors of the pluripotent mesenchyme". Semin Diagn Pathol. 25 (1): 20–8. PMID 18350919.
  3. Ramchandani M (2010). "Less invasive surgery for cardiac tumors". Methodist Debakey Cardiovasc J. 6 (3): 27–31. PMID 20834208.
  4. Atrial myxoma. Wikipedia https://en.wikipedia.org/wiki/Atrial_myxoma Accessed November 13, 2015
  5. Atrial myxoma - symptomps. Wikipedia https://en.wikipedia.org/wiki/Atrial_myxoma Accessed November 13, 2015


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