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Year : 2010  |  Volume : 2  |  Issue : 8  |  Page : 395-396

Hiatal hernia: An unusual presentation of dyspnea

1 Department of Echocardiography, Azad University Najafabad Branch, Iran
2 Delasa Heart Center, Sina Hospital, Isfahan, Iran

Correspondence Address:
Seied Ahmad Mirdamadi
Fellowship of Echocardiography, Department of Echocardiography, Azad University Najafabad Branch
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Source of Support: None, Conflict of Interest: None

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Context : Hiatal hernia is an infrequent but serious cause of dyspnea. We report a case of acute dyspnea and paroxysmal nocturnal dyspnea secondary to hiatal hernia and epicardial fat pad. Case Report : A 78-year-old woman presented with dyspnea and paroxysmal nocturnal dyspnea. Lab data and physical examination were normal. Computed tomography scan demonstrated a large hiatal hernia and epicardial fat pad. Conclusion : Although rare, hiatal hernia should be suspected in patients who develop unexplained dyspnea.

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