POCUS in a Patient with Acute Heart Failure, Diagnosis of an Unusual Etiology: A Case Report

Introduction: Heart failure represents a global public health concern. The majority of patients presenting to emergency departments have a known diagnosis and manifest an acutely decompensated chronic heart failure, while a smaller proportion present as de novo cases. Beyond identifying clinical man...

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Main Authors: Narvaez-Orozco, Alejandro, Agudelo-Quintero, Cristian Camilo, Arcila-Cano, Nicolás, Atencia-Flórez, Carlos José
Format: Article
Language:Spanish
Published: Universidad de Antioquia 2025-04-01
Series:Iatreia
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Online Access:https://revistas.udea.edu.co/index.php/iatreia/article/view/356114
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author Narvaez-Orozco, Alejandro
Agudelo-Quintero, Cristian Camilo
Arcila-Cano, Nicolás
Atencia-Flórez, Carlos José
author_facet Narvaez-Orozco, Alejandro
Agudelo-Quintero, Cristian Camilo
Arcila-Cano, Nicolás
Atencia-Flórez, Carlos José
author_sort Narvaez-Orozco, Alejandro
collection DOAJ
description Introduction: Heart failure represents a global public health concern. The majority of patients presenting to emergency departments have a known diagnosis and manifest an acutely decompensated chronic heart failure, while a smaller proportion present as de novo cases. Beyond identifying clinical manifestations, the diagnostic process should focus on identifying potential etiologies, which may initially be suspected through patient history and physical examination. Objectives: To describe, explore, and evaluate the utility of Point-of-Care Ultrasound (POCUS) in the initial assessment of heart failure syndrome in an emergency department setting. Methods: We present a case of a 60-year-old female patient with no significant medical history who presented to the emergency department with clinical symptoms of heart failure. Auscultation findings and ultrasound examination performed with a pocket device facilitated decision-making and ultimate treatment of an unusual etiology. Conclusions: Point-of-Care Focused Cardiac Ultrasound (FOCUS) may provide added value in the initial approach to heart failure syndrome.
format Article
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institution OA Journals
issn 0121-0793
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language Spanish
publishDate 2025-04-01
publisher Universidad de Antioquia
record_format Article
series Iatreia
spelling doaj-art-faec3936b66649cd8b574132812e39692025-08-20T02:18:25ZspaUniversidad de AntioquiaIatreia0121-07932011-79652025-04-0138237738310.17533/udea.iatreia.313POCUS in a Patient with Acute Heart Failure, Diagnosis of an Unusual Etiology: A Case ReportNarvaez-Orozco, Alejandro0https://orcid.org/0000-0002-0185-509XAgudelo-Quintero, Cristian Camilo1https://orcid.org/0000-0001-7259-829XArcila-Cano, Nicolás2https://orcid.org/0009-0006-8044-6329Atencia-Flórez, Carlos José3https://orcid.org/0000-0002-4531-229XUniversidad de Antioquia, Medellín, ColombiaUniversidad de Antioquia, Medellín, ColombiaUniversidad de Antioquia, Medellín, ColombiaHospital Universitario San Vicente Fundación, Medellín, ColombiaIntroduction: Heart failure represents a global public health concern. The majority of patients presenting to emergency departments have a known diagnosis and manifest an acutely decompensated chronic heart failure, while a smaller proportion present as de novo cases. Beyond identifying clinical manifestations, the diagnostic process should focus on identifying potential etiologies, which may initially be suspected through patient history and physical examination. Objectives: To describe, explore, and evaluate the utility of Point-of-Care Ultrasound (POCUS) in the initial assessment of heart failure syndrome in an emergency department setting. Methods: We present a case of a 60-year-old female patient with no significant medical history who presented to the emergency department with clinical symptoms of heart failure. Auscultation findings and ultrasound examination performed with a pocket device facilitated decision-making and ultimate treatment of an unusual etiology. Conclusions: Point-of-Care Focused Cardiac Ultrasound (FOCUS) may provide added value in the initial approach to heart failure syndrome.https://revistas.udea.edu.co/index.php/iatreia/article/view/356114diagnostic imagingheart failuremyxomaultrasonography
spellingShingle Narvaez-Orozco, Alejandro
Agudelo-Quintero, Cristian Camilo
Arcila-Cano, Nicolás
Atencia-Flórez, Carlos José
POCUS in a Patient with Acute Heart Failure, Diagnosis of an Unusual Etiology: A Case Report
Iatreia
diagnostic imaging
heart failure
myxoma
ultrasonography
title POCUS in a Patient with Acute Heart Failure, Diagnosis of an Unusual Etiology: A Case Report
title_full POCUS in a Patient with Acute Heart Failure, Diagnosis of an Unusual Etiology: A Case Report
title_fullStr POCUS in a Patient with Acute Heart Failure, Diagnosis of an Unusual Etiology: A Case Report
title_full_unstemmed POCUS in a Patient with Acute Heart Failure, Diagnosis of an Unusual Etiology: A Case Report
title_short POCUS in a Patient with Acute Heart Failure, Diagnosis of an Unusual Etiology: A Case Report
title_sort pocus in a patient with acute heart failure diagnosis of an unusual etiology a case report
topic diagnostic imaging
heart failure
myxoma
ultrasonography
url https://revistas.udea.edu.co/index.php/iatreia/article/view/356114
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