Autonomic dysfunction in postoperative primitive neuroectodermal tumor of heart
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
We present a patient with a primitive neuroectodermal tumor arising from the right atrium who experienced multiple syncope episodes daily, which had first appeared 1 month after surgery. The symptoms continued to worsen over the course of chemotherapy, and the autonomic function test (AFT) was performed after the 14th chemotherapy cycle. The AFT revealed orthostatic hypotension and reduced baroreflex-dependent sympathetic reactivity. Physical counterpressure techniques were applied with a visual biofeedback intervention, and were found to be effective in reducing the syncope episodes.
Abstract
We present a patient with a primitive neuroectodermal tumor arising from the right atrium who experienced multiple syncope episodes daily, which had first appeared 1 month after surgery. The symptoms continued to worsen over the course of chemotherapy, and the autonomic function test (AFT) was performed after the 14th chemotherapy cycle. The AFT revealed orthostatic hypotension and reduced baroreflex-dependent sympathetic reactivity. Physical counterpressure techniques were applied with a visual biofeedback intervention, and were found to be effective in reducing the syncope episodes.
참고문헌 (10)
- Beşirli K, "The primitive neuroectodermal tumor of the heart", Eur J Cardiothorac Surg, 18, pp.619~621 (2000)
- Ushigusa J, "Adult-onset primary Ewing’s sarcoma of the right atrium : a case report", Surg Case Rep, 5, pp.171~ (2019)
- Grier HE, "Addition of ifosfamide and etoposide to standard chemotherapy for Ewing’s sarcoma and primitive neuroectodermal tumor of bone", N Engl J Med, 348, pp.694~701 (2003)
- Wieling W, "Physical countermeasures to increase orthostatic tolerance", J Intern Med, 277, pp.69~82 (2015)
- Higgins JC, "Extraskeletal Ewing’s sarcoma of primary cardiac origin", Pediatr Cardiol, 15, pp.207~208 (1994)
- Cai CQ, "Primary intraspinal primitive neuroectodermal tumor : a case report and review of literature", J Pediatr Neurosci, 3, pp.154~156 (2008)
- Nwaejike N, "Primitive neuroectodermal tumor of the heart", Ann Thorac Surg, 93, pp.e27~e29 (2012)
- Demir A, "Surgical treatment and prognosis of primitive neuroectodermal tumors of the thorax", J Thorac Oncol, 4, pp.185~192 (2009)
- Macarthur H, "Neuronal and non-neuronal modulation of sympathetic neurovascular transmission", Acta Physiol(Oxf), 203, pp.37~45 (2011)
- Charlton NP, "2019 American Heart Association and American Red Cross Focused Update for First Aid : presyncope : an update to the American Heart Association and American Red Cross Guidelines for First Aid", Circulation, 140, pp.e931~e938 (2019)
