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Porres Azpíroz, A. Ruiz Aranjuelo, C.R. López Perales" "autores" => array:3 [ 0 => array:4 [ "nombre" => "J.C." "apellidos" => "Porres Azpíroz" "email" => array:1 [ 0 => "jcporres@salud.aragon.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Ruiz Aranjuelo" ] 2 => array:2 [ "nombre" => "C.R." "apellidos" => "López Perales" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cardiología, Hospital Miguel Servet, Zaragoza, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tres mecanismos para un síntoma: síncope por mixoma" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1106 "Ancho" => 2000 "Tamanyo" => 135478 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present 3 patients who were admitted for syncope-related conditions due to the presence of myxomas mediated by 3 different mechanisms.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The first case involves a young man who was admitted for symptoms of sudden effort syncope, preceded in previous days by presyncope-related symptoms and asthenia. The patient presented abrupt episodes of significant bradycardia, maintaining a low baseline atrial rhythm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). An echocardiogram revealed a considerable mass on the high lateral wall of the right atrium, which touched the entry of the superior vena cava, with compression at this level. After the mass was resected, the patient regained sinus rhythm, without demonstrating chronotropic incompetence in the stress testing. This result leads to the suspicion of the onset of sinus dysfunction of mechanical cause.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The second case involved a patient with sudden and brief syncope, with no previous similar symptoms. The patient was treated in the emergency department where an echocardiogram revealed a long finger-shaped formation, which, in some cycles, prolapsed in the left ventricle from the left atrium, interfering with the mitral valve's function over a large part of the cycles (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The third case involved a 66-year-old woman who consulted for isolated symptoms of syncope that occurred a few days earlier. The echocardiogram revealed the presence of a round large formation in the right atrium that occupied practically the entire tricuspid valve orifice in some cycles (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">In the 3 cases, the patients were successfully treated with surgery. The excised formations had a pathology compatible with myxomas in all cases.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-02-01" "fechaAceptado" => "2018-02-15" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Azpíroz JC, Aranjuelo AR, Perales CR. Tres mecanismos para un síntoma: síncope por mixoma. Rev Clin Esp. 2018;218:261–262.</p>" ] ] "multimedia" => array:3 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1645 "Ancho" => 1200 "Tamanyo" => 359357 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1134 "Ancho" => 850 "Tamanyo" => 169951 ] ] ] 2 => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1106 "Ancho" => 2000 "Tamanyo" => 135478 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021800000005/v1_201805300413/S2254887418300572/v1_201805300413/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021800000005/v1_201805300413/S2254887418300572/v1_201805300413/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300572?idApp=WRCEE" ]
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