呼吸困难,是心衰患者常见症状,然而今天笔者却给大家带来了一个不一样的病例~
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可被利尿剂「缓解」的吞咽困难
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真相大白:「心房性吞咽困难」诊断明确
图 1. 增强 CT 可见左心房增大压迫食管中段
图源:Eur Heart J
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一「墙」之隔两系统,临床诊疗需谨慎
参考文献:
[1] Anthony Matta, Khaled Elenizi, Didier Carrié, Jerome Roncalli. Dysphagia as an early sign of cardiac decompensation in elderly: case report. European Heart Journal -Case Reports.2020,ytaa149.
[2] Hsuan-Ming Tsao, Mei-Han Wu, Satoshi Higa,et al. Anatomic Relationship of the Esophagus and Left Atrium: Implication for Catheter Ablation of Atrial Fibrillation. Chest.2005;128(4):2581-7.
[3] Damian Sánchez-Quintana, José Angel Cabrera, Vicente Climent,et al. Anatomic Relations Between the Esophagus and Left Atrium and Relevance for Ablation of Atrial Fibrillation. Circulation.2005;112(10):1400-5.
[4] Robert H Anderson, Andrew C Cook. The Structure and Components of the Atrial Chambers. Europace.2007;Suppl 6:vi3-9.
[5] Siew Yen Ho, Karen P McCarthy. Anatomy of the Left Atrium for Interventional Electrophysiologists. Pacing Clin Electrophysiol.2010;33(5):620-7.