Long-lasting symptoms and diagnostics in a patient with unrecognized right sided heart failure: Why listening to the heart is so important  

作　　者：Liesbeth C de Vette Jasper J Brugts Jacky S McGhie Jolien W Roos-Hesselink 

机构地区：[1]Department of Cardiology, Erasmus MC, 230 3015 CE Rotterdam, The Netherlands

出　　处：《World Journal of Cardiology》2014年第5期345-348,共4页世界心脏病学杂志（英文版）（电子版）

摘　　要：M Ebstein is usually diagnosed in early childhood or ad-olescence. The young woman in our case complainted of fatigue and shortness of breath, on physical exami-nation she showed signs of heart failure with raised central venous pressure, palpable liver, an a cardiac murmer. Based on these findings she should have been referred to a cardiologist in an early stage after which transthoracic echocardiography resulted in the correct diagnosis. In this case the anomaly was missed for many years by different specialists and the patient was treated for liver disease, while she was suffering from liver congestion due to right-sided heart failure.M Ebstein is usually diagnosed in early childhood or ad-olescence. The young woman in our case complainted of fatigue and shortness of breath, on physical exami-nation she showed signs of heart failure with raised central venous pressure, palpable liver, an a cardiac murmer. Based on these findings she should have been referred to a cardiologist in an early stage after which transthoracic echocardiography resulted in the correct diagnosis. In this case the anomaly was missed for many years by different specialists and the patient was treated for liver disease, while she was suffering from liver congestion due to right-sided heart failure.

关 键 词：EBSTEIN CONGENITAL CARDIOLOGY AUSCULTATION Pregnancy Liver 

分 类 号：R541.6[医药卫生—心血管疾病]