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Dysphagia as an early sign of cardiac decompensation in elderly: case report.

ABSTRACT: Background?:Several clinical entities may be misdiagnosed in elderly if we consider dysphagia as a normal aging process in our daily practice. On top of usual aetiologies like motor dysfunction, investigations may uncover serious underlying conditions. Case summary?:We report an unusual case where dysphagia was the warning sign for acute heart failure in a 76-year-old patient known to have dilated cardiomyopathy with reduced ejection fraction. It was due to an external oesophageal compression by the left atrium. A transthoracic echocardiography, an enhanced thoracic computed tomography-scan and esophagogastroduodenoscopy were used for the diagnosis. Diuretics were the cornerstone treatment with symptomatic improvement. Discussion?:Despite the fact that cardiovascular dysphagia is an uncommon medical entity, but it remains a potential differential diagnosis, especially in elderlies with high risk for atrial enlargement.

SUBMITTER: Matta A

PROVIDER: S-EPMC7501929 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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Dysphagia as an early sign of cardiac decompensation in elderly: case report.

Matta Anthony A Elenizi Khaled K Carrié Didier D Roncalli Jerome J

European heart journal. Case reports 20200617 4

<h4>Background</h4>Several clinical entities may be misdiagnosed in elderly if we consider dysphagia as a normal aging process in our daily practice. On top of usual aetiologies like motor dysfunction, investigations may uncover serious underlying conditions.<h4>Case summary</h4>We report an unusual case where dysphagia was the warning sign for acute heart failure in a 76-year-old patient known to have dilated cardiomyopathy with reduced ejection fraction. It was due to an external oesophageal c ...[more]

PMID: 32974472

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