Noninvasive cardiology: Echocardiographic findings as the main clues in the diagnosis of carcinoid disease

D. H. Spodick, Y. Shapira*, G. Milo, J. Bishara, A. Sagie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The diagnosis of a carcinoid tumor is usually straightforward, based on typical clinical signs and symptoms, and biochemical confirmation. However, the clinical presentation may be atypical. When tricuspid valve involvement predominates, the cardiologist may be the first to raise the diagnosis. We report on two patients with metastatic carcinoid disease in which the main clue leading to the proper diagnosis was a typical appearance of the tricuspid valve on an echocardiographic examination. The differential diagnosis and the literature on echocardiography in carcinoid heart disease are discussed. Physician awareness of the echocardiogram's ability to identify carcinoid heart disease quite reliably and the capability of echocardiographists to integrate the echocardiographic findings into the proper diagnosis, may shorten the diagnostic delay and lead to earlier and more comprehensive treatment of a carcinoid tumor.

Original languageEnglish
Pages (from-to)464-466+481
JournalCardiovascular Reviews and Reports
Volume22
Issue number8
StatePublished - 2001
Externally publishedYes

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