Patent foramen ovale history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
*The majority of patients with patent foramen ovale are asymptomatic. Due to the pathway a patent foramen ovale creates, chemicals or thrombus can travel through resulting in clinical manifestations such as stroke, migraine headache, high altitude pulmonary edema, decompression sickness, and platypnea-orthodeoxia syndrome.<ref name="pmid18953276">{{cite journal| author=Kedia G, Tobis J, Lee MS| title=Patent foramen ovale: clinical manifestations and treatment. | journal=Rev Cardiovasc Med | year= 2008 | volume= 9 | issue= 3 | pages= 168-73 | pmid=18953276 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18953276 }} </ref> | *The majority of patients with patent foramen ovale are asymptomatic. However, an increase in right atrial pressure, in the case of a valsalva maneuver, can result in a right-to-left shunt across the patent foramen ovale allowing the venous circulation to be in direct contact with the arterial circulation. Due to the pathway a patent foramen ovale creates, chemicals or thrombus can travel through resulting in clinical manifestations such as stroke, migraine headache, high altitude pulmonary edema, decompression sickness, and platypnea-orthodeoxia syndrome.<ref name="pmid18953276">{{cite journal| author=Kedia G, Tobis J, Lee MS| title=Patent foramen ovale: clinical manifestations and treatment. | journal=Rev Cardiovasc Med | year= 2008 | volume= 9 | issue= 3 | pages= 168-73 | pmid=18953276 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18953276 }} </ref><ref name="GafoorSharma2017">{{cite journal|last1=Gafoor|first1=Sameer|last2=Sharma|first2=Rahul|last3=Zhang|first3=Ming|last4=Casterella|first4=Peter|last5=Atianzar|first5=Kimberly|title=Update on the Management of Patent Foramen Ovale in 2017: Indication for Closure and Literature Review|journal=US Cardiology Review|volume=11|issue=2|year=2017|pages=75|issn=1758-3896|doi=10.15420/usc.2017:18:1}}</ref> | ||
==References== | ==References== | ||
Revision as of 00:43, 10 February 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [3]
Overview
The vast majority of patients with a patent foramen ovale do not have symptoms. Patients with right-to-left shunting can have cyanosis. These cyanosis episode might get exacerbated in case of increased pressure in pulmonary vasculature like breath holding, crying, or the valsalva maneuver.
History and Symptoms
- The majority of patients with patent foramen ovale are asymptomatic. However, an increase in right atrial pressure, in the case of a valsalva maneuver, can result in a right-to-left shunt across the patent foramen ovale allowing the venous circulation to be in direct contact with the arterial circulation. Due to the pathway a patent foramen ovale creates, chemicals or thrombus can travel through resulting in clinical manifestations such as stroke, migraine headache, high altitude pulmonary edema, decompression sickness, and platypnea-orthodeoxia syndrome.[1][2]
References
- ↑ Kedia G, Tobis J, Lee MS (2008). "Patent foramen ovale: clinical manifestations and treatment". Rev Cardiovasc Med. 9 (3): 168–73. PMID 18953276.
- ↑ Gafoor, Sameer; Sharma, Rahul; Zhang, Ming; Casterella, Peter; Atianzar, Kimberly (2017). "Update on the Management of Patent Foramen Ovale in 2017: Indication for Closure and Literature Review". US Cardiology Review. 11 (2): 75. doi:10.15420/usc.2017:18:1. ISSN 1758-3896.