Atrial Myxoma Presenting as Positional Vertigo: A Case Report

Jupalli, Aamani; Mubarik, Ateeq; Iqbal, Arshad Muhammad; Atfeh, Mowaffak; Muddassir, Salman

doi:10.7759/cureus.4884

Cited by 8 publications

(13 citation statements)

References 14 publications

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“…Despite many advantages, enoxaparin has side effects such as pain, anemia, hematoma, thrombocytopenia, and injection site bruising [ 4 , 5 ]. Bruising is defined as skin color change in a surface area of equal or larger than 2 mm2 [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Comfrey on Enoxaparin-Induced Bruise in Patients with Acute Coronary Syndrome: A Randomised Clinical Trial

et al. 2021

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Objectives Bruising is an important side effect of enoxaparin injection. Comfrey ( Symphytum officinale ) is used to treat different types of wounds, bone fractures, and bruising in traditional medicine in many countries for centuries. This study aimed to determine the effects of the Comfrey ointment on the bruise size and color following enoxaparin injection. Methods This double-blind randomized clinical trial was conducted on 80 patients with acute coronary syndrome (ACS). The participants were randomly divided into two groups of 40, namely Comfrey and Placebo. Changes in bruise size and color in both groups were assessed daily before and after the intervention. Results The Comfrey and Placebo groups were homogeneous in demographic and clinical variables. A downward trend was observed in the bruise size in both groups throughout the study. However, the bruise size was smaller in the Comfrey group than the Placebo group on day 2-5 of the intervention. Moreover, there was a significant difference in bruise color between the groups, with a shorter healing course in the Comfrey group. Conclusion The Comfrey ointment accelerated the healing process of enoxaparin injection-induced bruising in patients with ACS. It is recommended as a safe and simple approach for these patients.

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Section: Introductionmentioning

confidence: 99%

The Effect of Comfrey on Enoxaparin-Induced Bruise in Patients with Acute Coronary Syndrome: A Randomised Clinical Trial

et al. 2021

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“…Low-molecular-weight heparin (LMWH) selectivity potentiates AT III leading to inhibition of factor Xa, but does not strongly inactivate other platelet factors. 23 LMWH is administered subcutaneously, making it less desirable for patients. It has a longer half-life than heparin, allowing for less frequent dosing.…”

Section: Anticoagulant Agentsmentioning

confidence: 99%

Anticoagulation and Antiplatelet Agents in Peripheral Arterial Interventions

Taylor

Stiepel

Keefe

2022

Semin intervent Radiol

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Effective revascularization of peripheral artery disease relies on periprocedural pharmacological regulation of the clotting cascade. Patient-specific factors such as cardiovascular risk factors, contraindications, and individual psychosocial factors must be considered when initiating post revascularization management. Management with anticoagulant and antiplatelet agents is discussed to guide the interventionalist on which therapy may be appropriate for their patient. While exact treatment may be institution and provider dependent, the interventionist must be familiar with the available classes of medications and how they can be prescribed in the postprocedural setting to improve cardiovascular outcomes.

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“…Myxomas are mostly found in the left atrium (LA) close to the fossa ovalis (FO), however, they are also found in other locations such as the right atrium, ventricles, and valves [ 3 ]. The presentation can vary depending on the location of the myxoma such as shortness of breath and chest pain due to mitral valve (MV) obstruction, thromboembolism such as cerebral emboli or pulmonary embolism, or arrhythmia such as atrial fibrillation (AF) [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

A Case Report on the Incidental Diagnosis of a Left Atrial Myxoma in a Patient Presenting With Right Shoulder Pain and Inter-scapular Back Pain

Khan¹,

Yousif²,

Abumedian³

et al. 2022

Cureus

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Primary cardiac tumors are rare, and myxoma is a rare benign primary cardiac tumor in adults, commonly found within the left atrium. The presentation can vary from patients being asymptomatic to pulmonary embolism or stroke. Smaller atrial myxomas are usually asymptomatic, however, larger ones can cause symptoms such as dyspnea, orthopnea, cough, peripheral edema, palpitations, and fatigue. We present a case report of a 72-year-old patient presenting with right shoulder pain and chest pain on breathing to the accident and emergency department. The patient was complaining of right shoulder pain for five days and pleuritic chest pain for the last 48 hours. Initial electrocardiogram showed normal sinus rhythm, however, repeat electrocardiograms showed atrial fibrillation. An echocardiogram showed a homogeneous, relatively round mass seen in the left atrium, close to the inter-atrial septum, and close to the roof of the left atrium, and the patient underwent surgical removal of the benign tumor.

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Atrial Myxoma Presenting as Positional Vertigo: A Case Report

Cited by 8 publications

References 14 publications

The Effect of Comfrey on Enoxaparin-Induced Bruise in Patients with Acute Coronary Syndrome: A Randomised Clinical Trial

The Effect of Comfrey on Enoxaparin-Induced Bruise in Patients with Acute Coronary Syndrome: A Randomised Clinical Trial

Anticoagulation and Antiplatelet Agents in Peripheral Arterial Interventions

A Case Report on the Incidental Diagnosis of a Left Atrial Myxoma in a Patient Presenting With Right Shoulder Pain and Inter-scapular Back Pain

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