6533b857fe1ef96bd12b4f57

RESEARCH PRODUCT

Hiatal herniation of the stomach and pancreas in a patient with oxygen desaturations

Mauro CardilloGaspare ParrinelloGiuseppe LicataMichele BellancaDaniele Torres

subject

medicine.medical_specialtybusiness.industryST elevationGeneral MedicineExercise intolerancemedicine.diseaseChest painAsymptomaticPulmonary function testingHiatal hernia ;respiratory desaturation ; pancreas; pulmonary hypertensionHiatal herniaPericarditisHeart failureInternal medicineCardiologyMedicineMedicinecardiovascular diseasesmedicine.symptombusinessLetter to the Editor

description

Hiatal hernia (HH), a neglected cause of cardiorespiratory symptoms, is a frequent entity characterized by the displacement of the gastro- esophageal junction and part of the stomach into the mediastinum. Although often asymptomatic, HH may also exert a wide spectrum of clinical presentations due to cardio-pulmonary compression, including acute cardiovascular events such as arrhythmias, post-prandial syncope, angina-like chest pain, recurrent acute heart failure, hemodynamic collapse, electrocardiographic changes (T-wave inversion, ST elevation) simulating myocardial ischemia or pericarditis, and respiratory manifestations that can range from exercise intolerance and dyspnea on exertion to alteration of pulmonary function tests. (Published. 4 December 2013) Citation: Libyan J Med 2013, 8 : 23288 - http://dx.doi.org/10.3402/ljm.v8i0.23288

10.3402/ljm.v8i0.23288http://europepmc.org/articles/PMC3854125