Case Report: A cardiac mass diagnosed using Point-of-care ultrasound in a dyspneic patient. An integrated ultrasound examination of lung-heart-Inferior Vena Cava

Abstract

A 74-year-old woman with history of hypertension presented to the Emergency Department (ED) with severe resting dyspnea and swelling in the feet, ankles and legs. She was on treatment with furosemide and a beta blocker. At the time of admission blood pressure was 145/88 mmHg, heart rate (HR) 99 bpm, regular, oxygen saturation was 89% (FiO2 21%) and respiratory rate was 17 breaths/min. Abbreviation List AST: Aspartate aminotransferase ED: Emergency Department GFR: Glomerular Filtration Rate HCC: Hepatocellular Carcinoma HF: Heart Failure HR: Heart rate IVC: Inferior vena cava LAFB: Left anterior fascicular block LV: Left ventricle NT-pro-BNP: N-Terminal pro-Brain Natriuretic peptide POCUS: Point-of-care ultrasound RA: Right atrium RBB: Right bundle branch block RV: Right ventricle TS: Tricuspid stenosis