MRCP UK EXAMINATIONS

CLINICAL ENCOUNTERS

DYSPHAGIA

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Abnormal enlargement to which part of the heart can sometimes cause dysphagia?
A
Right atrium
B
Left atrium
C
Right ventricle
D
Left ventricle
Explanation: 

Detailed explanation-1: -Left atrial enlargement is an uncommon cause of dysphagia. Such dysphagia can be seen with voice hoarseness in Ortner’s syndrome or without voice hoarseness in ‘cardiovascular dysphagia’. Management of dysphagia secondary to atrial enlargement is symptomatic.

Detailed explanation-2: -[1] Left atrial enlargement (LAE) is the hallmark of the structural remodeling process, which occurs in response to chronic pressure and volume overload. LAE occurs most commonly in association with diastolic dysfunction, left ventricular hypertrophy, mitral valvular disease, and systemic hypertension.

Detailed explanation-3: -Left atrial enlargement is a warning sign that one of your heart’s upper chambers is handling high pressure and too much blood. People with this issue often have high blood pressure, heart valve problems or other heart issues.

There is 1 question to complete.