Unveiling the Uncommon: Angina as a Rare Symptom in Cardiac Myxomas Cardiac Myxoma and Angina

Division

West Florida

Hospital

Citrus Memorial Hospital

Document Type

Case Report

Publication Date

4-4-2024

Keywords

Myxoma, Angina, Endocardium Neoplasm

Disciplines

Cardiology | Cardiovascular Diseases | Internal Medicine | Medicine and Health Sciences | Neoplasms

Abstract

Cardiac myxomas, rare neoplasms originating from the endocardium, have captivated the medical community with their multifaceted clinical presentations. Among these presentations, Left Atrial Myxomas (LAMs) stand out for their potential to mimic diverse medical conditions, including angina. In this case report, we present a unique and instructive case of a 52-year-old female who presented with recurrent angina episodes, bradycardia, and a cardiac mass mimicking angina, yet displaying no abnormal Electrocardiogram (ECG) or cardiac enzyme levels. Through an extensive literature review, we highlight the varied clinical manifestations of LAMs, including their potential to induce arrhythmias, heart block, embolic events, and even neurological symptoms. Our patient's case emphasizes the importance of considering LAM as a differential diagnosis in common clinical presentations and underscores the need for thorough medical history review, meticulous clinical examination, and, when available, bedside survey Transesophageal Echocardiography (TEE) for early detection and effective management. This report serves as a reminder to healthcare providers that LAMs, though rare, should be considered in the assessment of patients with diverse symptoms, contributing to timely diagnosis and optimal patient care.

Publisher or Conference

Emergency Medicine Investigations

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