Case Report: A cardiac mass diagnosed using Point-of-care ultrasound in a dyspneic patient. An integrated ultrasound examination of lung-heart-Inferior Vena Cava

Abstract

A 74-year-old woman with history of hypertension presented to the Emergency Department (ED) with severe resting dyspnea and swelling in the feet, ankles and legs. She was on treatment with furosemide and a beta blocker. At the time of admission blood pressure was 145/88 mmHg, heart rate (HR) 99 bpm, regular, oxygen saturation was 89% (FiO2 21%) and respiratory rate was 17 breaths/min.
 Abbreviation List
 AST: Aspartate aminotransferase
 ED: Emergency Department
 GFR: Glomerular Filtration Rate
 HCC: Hepatocellular Carcinoma
 HF: Heart Failure
 HR: Heart rate
 IVC: Inferior vena cava
 LAFB: Left anterior fascicular block
 LV: Left ventricle
 NT-pro-BNP: N-Terminal pro-Brain Natriuretic peptide
 POCUS: Point-of-care ultrasound
 RA: Right atrium
 RBB: Right bundle branch block
 RV: Right ventricle
 TS: Tricuspid stenosis