Heart failure with reduced ejection fraction due topolycythemia vera
Autor: | Osman K. Yousafzai, Muhammad Umer, Riley G Jones, Muhammad Omer Zaman, Bernard Kim, Roshan Shah, Kevin Kim |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Myocarditis Cardiomyopathy Case Report Microbiology omcrep/200 Polycythemia vera hemic and lymphatic diseases Internal medicine Medicine Cardiac imaging Ejection fraction biology business.industry food and beverages medicine.disease Troponin omcrep/1000 Coronary arteries Infectious Diseases medicine.anatomical_structure Heart failure Cardiology biology.protein Parasitology AcademicSubjects/MED00010 business |
Zdroj: | Oxford Medical Case Reports |
ISSN: | 2053-8855 |
Popis: | Polycythemia vera is a rare hematological disorder that can cause heart failure with reduced ejection fraction from chronic micro-vascular ischemia. Appropriately recognizing the underlying cause of cardiomyopathy is essential to decrease morbidity and mortality. Patients can present with elevated troponin level and have patent epicardial coronary arteries on coronary angiogram, hence presenting a diagnostic challenge for health care professionals. Furthermore, the presentation can mimic myocarditis. Herein, we report a case of a 61-year-old female who presented with heart failure due to microvascular thrombotic complication associated with polycythemia vera. Laboratory investigation and coronary angiogram were inconclusive. A high degree of clinical suspicion and utilizing non-invasive techniques, such as cardiac imaging, can describe myocardial pathology and aid with the diagnosis. |
Databáze: | OpenAIRE |
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