» Articles » PMID: 37254634

A Case Report of a Patient with Heart Failure with Preserved Ejection Fraction Presented As Dysphagia

Overview
Journal ESC Heart Fail
Date 2023 May 31
PMID 37254634
Authors
Affiliations
Soon will be listed here.
Abstract

Dysphagia is a common clinical symptom in older people that can be attributed to a wide range of diseases, extending from neoplasm to gastroesophageal reflux diseases such as stroke or achalasia. We are presenting a case of a 78-year-old male with a history of heart failure with preserved ejection fraction and progressive dysphagia, due to a rare case, namely, dysphagia megalatriensis. Even though left ventricular ejection fraction was preserved, the patient improved, when we provided him with optimal medical heart failure with reduced ejection fraction treatment. In our case report, we intend to highlight the benefits of optimized medical therapy in a patient with heart failure with preserved ejection fraction, due to mitral valve regurgitation leading to a hugely dilated left atrium.

Citing Articles

A case report of a patient with heart failure with preserved ejection fraction presented as dysphagia.

Leonidou E, Ioannou M, Mavrommatis P, Mouzarou A ESC Heart Fail. 2023; 10(4):2707-2710.

PMID: 37254634 PMC: 10375080. DOI: 10.1002/ehf2.14415.

References
1.
Pitt B, Pfeffer M, Assmann S, Boineau R, Anand I, Claggett B . Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014; 370(15):1383-92. DOI: 10.1056/NEJMoa1313731. View

2.
Shah S, Kitzman D, Borlaug B, van Heerebeek L, Zile M, Kass D . Phenotype-Specific Treatment of Heart Failure With Preserved Ejection Fraction: A Multiorgan Roadmap. Circulation. 2016; 134(1):73-90. PMC: 4930115. DOI: 10.1161/CIRCULATIONAHA.116.021884. View

3.
Abdallah M, Ellithi M, Larson E, Murray J . Dysphagia Megalatriensis: An Uncommon Cause of Dysphagia. S D Med. 2021; 74(3):106-107. View

4.
Upadhya B, Kitzman D . Heart failure with preserved ejection fraction: New approaches to diagnosis and management. Clin Cardiol. 2019; 43(2):145-155. PMC: 7021648. DOI: 10.1002/clc.23321. View

5.
Kao D, Lewsey J, Anand I, Massie B, Zile M, Carson P . Characterization of subgroups of heart failure patients with preserved ejection fraction with possible implications for prognosis and treatment response. Eur J Heart Fail. 2015; 17(9):925-35. PMC: 4654630. DOI: 10.1002/ejhf.327. View