Document Detail


Left atrial myxoma-influence of tumour size on electrocardiographic findings.
MedLine Citation:
PMID:  22572494     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The data of 51 patients (33 females) who underwent excision of left atrial (LA) myxoma were retrospectively reviewed for correlation of tumour size and electrocardiographic (ECG) findings.
METHODS AND RESULTS: Mean age was 39.1 ± 15 years (range 9-53 years). The LA enlargement (LAE) on ECG was defined by standard criteria. The LAE in ECG in these patients did not correlate with echocardiographic LA dimensions or with the degree of left ventricular (LV) inflow obstruction. But it was found that the presence of LAE in ECG predicted maximum tumour dimension of >5 cm and correlated with the degree of mitral regurgitation (MR). The LAE in ECG disappeared following surgery in 87.5% of patients.
CONCLUSION: The LA enlargement on ECG in a patient with LA myxoma signifies larger tumour size or the presence of significant MR but is not necessarily associated with an increased LA size or LV inflow obstruction.
Authors:
S Harikrishnan; Shomu Bohora; Vivek V Pillai; G Sanjay; E Rajeev; J M Tharakan; T Titus; V K Ajith Kumar; S Sivasankaran; K K N Namboodiri
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Publication Detail:
Type:  Journal Article     Date:  2012-04-28
Journal Detail:
Title:  Indian heart journal     Volume:  64     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-05-10     Completed Date:  2013-07-10     Revised Date:  2014-03-28    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  India    
Other Details:
Languages:  eng     Pagination:  170-2     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Atrial Pressure
Child
Electrocardiography*
Female
Heart Atria
Heart Neoplasms / diagnosis*,  physiopathology,  surgery
Humans
Male
Middle Aged
Myxoma / diagnosis*,  physiopathology,  surgery
Young Adult
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