Presentation
Primary cardiac tumours are a rare clinical entity that can present with myriad of non-specific cardiopulmonary symptoms. [ncbi.nlm.nih.gov]
Cardiovascular
- Heart Failure
Overt liver disease caused by left-sided heart failure is seldom recognized unless there is obvious hypotension. [ncbi.nlm.nih.gov]
Heart Failure Society of America. Questions about HF - Stages of Heart Failure, HFSA. [Consulté le 27 juillet 2011]. www.abouthf.org 3. Arnold JM, Howlett JG, et al. [passeportsante.net]
Workup
Other Pathologies
- Hepatic Necrosis
Liver biopsies performed on all patients revealed central hepatic necrosis without evidence of acute or chronic hepatitis. Left ventricular failure was documented in all 4 patients. [ncbi.nlm.nih.gov]
Biopsy
- Liver Biopsy
Liver biopsies performed on all patients revealed central hepatic necrosis without evidence of acute or chronic hepatitis. Left ventricular failure was documented in all 4 patients. [ncbi.nlm.nih.gov]
Treatment
The signs of the liver impairment were transient, subsiding with the successful treatment of the heart failure. [ncbi.nlm.nih.gov]
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The Complete Book of Symptoms and Treatments, Element Books Limited, Angleterre, 1998. Ernst E (Ed). The Desktop Guide to Complementary and Alternative Medicine : an evidence-based approach, Harcourt Publishers Limited, Angleterre, 2001. [passeportsante.net]
Prognosis
Given the overall grim prognosis, the patient chose to pursue comfort-based care. She died at home 9 months after the initial diagnosis. [ncbi.nlm.nih.gov]
Holubarsch CJ, Colucci WS, Meinertz T, Gaus W, Tendera M; Survival and Prognosis: Investigation of Crataegus Extract WS 1442 in CHF (SPICE) trial study group. Eur J Heart Fail. 2008 Dec;10(12):1255-63. 13. [passeportsante.net]
Prevention
Canadian Cardiovascular Society Consensus Conference recommendations on heart failure update 2007: Prevention, management during intercurrent illness or acute decompensation, and use of biomarkers. Can J Cardiol. 2007 Jan;23(1):21-45. Review. 4. [passeportsante.net]