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Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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INTERESTING CASES

Case History :

A 60-year-old man comes to the clinic complaining of shortness of breath, chest pain, dizziness and sensation of feeling his heart beating really fast for the past one hour. He has had previous such episodes for as long as he could remember. He describes the pain as tightness and also adds that his chest pain is more when he is laying flat on the bed or when he is asleep. None in the family present with such symptoms except him and his personal habits are good. He has no past history of any chronic illness like diabetes or hypertension.

On examination the patient was apparently well. His BP was 155/60 mmHg. Pulse 70/minute and regular. JVP was normal it is found that there is no edema; no pallor and all his vitals are within normal limits. Systemic examination is normal except that on auscultation over the heart, a "tumour plop" is heard when the patient changes his position while lying down.

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Investigation Reports :

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Discussion :

The only effective treatment is surgical excision of the tumor. During the same procedure, some patients will also need to have their mitral valve replaced. Myxomas may recur if the surgical removal was incomplete. Prognosis depends on the treatment given. The probable outcome is poor without treatment. Although a myxoma is a benign tumor, complications are common.

One complication of untreated myxoma is embolization, which can obstruct a blood vessel or plant a myxoma in another part of the body where it can cause symptoms. Myxoma fragments can embolize to the brain, eye, or limbs. Another complication is the local growth of the tumor, which can obstruct blood flow through the mitral heart valve and produce clinical symptoms of mitral stenosis. Other complications are arrythmias, pulmonary edema, metastasis and local spread of the tumour, with obstruction of the mitral heart valve and symptoms of mitral stenosis also, which may require emergency surgery to prevent sudden death.

The outlook for someone who had a left atrial myxoma that has been surgically removed is good; and patients usually remain symptom-free and have a normal lifespan.

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