Myxoma history and symptoms: Difference between revisions
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There are no hallmark findings in cardiac myxoma. However, clinical features of cardiac myxoma are determined by tumor location, size and mobility.<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. A positive history of systemic embolism and heart failure may be suggestive of cardiac myxoma. The most common symptoms of cardiac myxoma include [[chest pain]], [[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> | There are no hallmark findings in cardiac myxoma. However, clinical features of cardiac myxoma are determined by tumor location, size and mobility.<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. A positive history of systemic embolism and heart failure may be suggestive of cardiac myxoma. The most common symptoms of cardiac myxoma include [[chest pain]], [[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> | ||
==History == | ==History== | ||
Obtaining the history is an important aspect of making a diagnosis of cardiac myxoma. Complete history will help to rule out, familial or multiple myxoma forms and also provide correct therapy. Cardiac myxoma patients usually have an acute onset with complications, such as stroke. Therefore the patient interview may result difficult. In such cases, history from the caregivers or the family members may need to be obtained. Specific histories about the symptoms (duration, onset, progression) or associated symptoms may be useful. Specific areas of focus when obtaining the history, are outlined below: | |||
* Onset, duration and progression of symptoms | |||
* Associated symptoms ([[dyspnea]], [[orthopnea]], [[pulmonary edema]]) | |||
* History of [[hyperpigmentation of the skin]] or endocrine overactivity | |||
* | * Symptoms of heart failure | ||
* | * History of cerebral embolism | ||
* | |||
* | |||
== Common Symptoms== | == Common Symptoms== | ||
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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
There are no hallmark findings in cardiac myxoma. However, clinical features of cardiac myxoma are determined by tumor location, size and mobility.[1] Symptoms may occur at any time, but most often they tend to occur with changes in body position. A positive history of systemic embolism and heart failure may be suggestive of cardiac myxoma. The most common symptoms of cardiac myxoma include chest pain, syncope, and dyspnea on exertion. About 20% of cardiac myxomas are asymptomatic at the time of diagnosis.[2]
History
Obtaining the history is an important aspect of making a diagnosis of cardiac myxoma. Complete history will help to rule out, familial or multiple myxoma forms and also provide correct therapy. Cardiac myxoma patients usually have an acute onset with complications, such as stroke. Therefore the patient interview may result difficult. In such cases, history from the caregivers or the family members may need to be obtained. Specific histories about the symptoms (duration, onset, progression) or associated symptoms may be useful. Specific areas of focus when obtaining the history, are outlined below:
- Onset, duration and progression of symptoms
- Associated symptoms (dyspnea, orthopnea, pulmonary edema)
- History of hyperpigmentation of the skin or endocrine overactivity
- Symptoms of heart failure
- History of cerebral embolism
Common Symptoms
Symptoms may occur at any time, but most often they accompany a change of body position. Symptoms may include:[3]
- Shortness of breath with activity
- Platypnea - difficulty breathing in the upright position with relief in the supine position
- Paroxysmal nocturnal dyspnea - breathing difficulty when asleep
- Dizziness
- Fainting
- Palpitations - sensation of feeling your heart beat
- Chest pain or tightness
- Sudden Death (in which case the disease is an autopsy finding)
The symptoms of left atrial myxomas often mimic mitral stenosis. General symptoms may also be present, such as:
- Cough
- Fever
- Cachexia - involuntary weight loss
- Malaise
- Joint pain
References
- ↑ Tazelaar HD, Locke TJ, McGregor CG (1992). "Pathology of surgically excised primary cardiac tumors". Mayo Clin. Proc. 67 (10): 957–65. PMID 1434856.
- ↑ Vaideeswar P, Butany JW (2008). "Benign cardiac tumors of the pluripotent mesenchyme". Semin Diagn Pathol. 25 (1): 20–8. PMID 18350919.
- ↑ Atrial myxoma - symptomps. Wikipedia https://en.wikipedia.org/wiki/Atrial_myxoma Accessed November 13, 2015