Case Surprising Medicines Debate That Nursing Provoked A Cardiac “Invasion” Recorded In Literature
Marcela Moreno Wilches y Belinda Z. Burgos González
Agencia Latina de Noticias Medicina y Salud Pública
A hallucination in the right atrium of the coronary artery revealed an existing pathology of hepatocellular cancer.
And it’s a 82-year-old male patient who arrived at the San Lucas Episcopal Emergency Department’s emergency room to be treated by the medical staff at a serious cardiac clinic.
This patient presents historical history of chronic illness in stage three, in addition to being hypertensive and having other hepatic and autoimmune diseases such as Crohn’s, coronary heart disease, among others.
The patient inhales with experimental sinuses during a week’s sleep cycle, such as hot air, edema cremation, lower extremity injuries with tachycardia, mare, crimson abdominal distension, no fever, no sleep.
When evaluated, the medical team that attended this event ordered an ecocardiographic study. Among these were the doctors José Román Ramos, José Bird, Edgardo Bermúdez and David Heredia.
“When the ecocardiogram is realized, it is seen that the systolic function is preserved, but we find this mass of the mass or the subjective structure of the mass in the right that it affects the precarious function of the heart and produces unstable hemorrhage. In the laboratories realized that a systolic dysfunction marker or distension of the coronary structure is significantly increased ”, explains’ n Medicina y Salud Pública (MSP) the doctor Heredia.
“The studies show evidence of a hallucination in the right atrium of a structure that may be susceptible, related to a metastasis debited to advanced hepatocellular carcinoma disease that affects this patient. The particular case is that if one can present any hepatocellular cancer, and the same, can be advanced and provoke metastasis to other organs like pulmonary, per the cardiac invasion of this affection is not common ”, assures.
The patient’s clinical course is not the best and the worst. According to the authorization of the relatives, a hepatocellular carcinoma of the post-mortem carcinoma is present and the master of the car, in the pathological report of the structure that was removed from the right atrium, can confirm that eran cells are consistent with hepatic structure invasion of the atrium should be carried out on the pathological beds that hold them.
“At the moment we are diagnosing the case, it is interesting to note that there is no common case of cardiac failure for these patients. “There is a percentage of these patients who are present with preserved systolic dysfunction and only one case has been reported and demonstrated in the literature”, indicated the specialist.
In addition, as a result, “it is important to note that this case was evaluated by the entire cardiology team of the institution at the academic level. We would like to make an intervention to change the patient’s future clinical setting, as well as an interesting and common case, of an airway failure, with an unusual cause of cardiac failure ”.
The patient does not have evidence of a thromboembolic event, which is suspected in the diagnosis, has a debilitating effect on cardiac invasion of a malignant structure of hepatic origin.
The case was presented this year at the National Cardiology Convention and was accepted for a oral presentation, to expose a case of an atypical cardiac failure presentation with systolic function preserved by cardiac invasion and metastasis of a patient.
Cases reported in literature
Some cases have been presented in the literature regarding hepatocellular invasion with coverage on the cardiac part but the presentation rate is very low.
Although this type of diagnosis can be presented at any age, a hepatocellular cancer can be ten, if there is advanced metastasis to other organs such as pulmonary, per cardiac invasion is not common.
Hepatocellular carcinoma is the most frequent type of primary cancer. It develops most commonly in people who have chronic chronic liver diseases, such as cirrhosis caused by hepatitis B or C.