{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T08:48:22Z","timestamp":1788598102823,"version":"build-2803163510"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T00:00:00Z","timestamp":1762905600000},"content-version":"vor","delay-in-days":897,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T00:00:00Z","timestamp":1685404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Dysphagia is a common clinical symptom in older people that can be attributed to a wide range of diseases, extending from neoplasm to gastroesophageal reflux diseases such as stroke or achalasia. We are presenting a case of a 78-year-old male with a history of heart failure with preserved ejection fraction and progressive dysphagia, due to a rare case, namely, dysphagia megalatriensis. Even though left ventricular ejection fraction was preserved, the patient improved, when we provided him with optimal medical heart failure with reduced ejection fraction treatment. In our case report, we intend to highlight the benefits of optimized medical therapy in a patient with heart failure with preserved ejection fraction, due to mitral valve regurgitation leading to a hugely dilated left atrium.<\/jats:p>","DOI":"10.1002\/ehf2.14415","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T02:34:46Z","timestamp":1685500486000},"page":"2707-2710","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A Case Report of a Patient with Heart Failure with Preserved Ejection Fraction Presented as Dysphagia"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6349-9214","authenticated-orcid":false,"given":"Elena","family":"Leonidou","sequence":"first","affiliation":[{"name":"State Health Services Organization, General Hospital of Limassol , Kato Polemidia ,","place":["Cyprus"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Ioannou","sequence":"additional","affiliation":[{"name":"State Health Services Organization, General Hospital of Limassol , Kato Polemidia ,","place":["Cyprus"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petros","family":"Mavrommatis","sequence":"additional","affiliation":[{"name":"Cardiac Care Centre , Pafos ,","place":["Cyprus"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angeliki","family":"Mouzarou","sequence":"additional","affiliation":[{"name":"State Health Services Organization, General Hospital of Pafos , Pafos ,","place":["Cyprus"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,30]]},"reference":[{"key":"2026012114083033500_ehf214415-bib-0001","volume-title":"StatPearls","author":"Azer","year":"2021"},{"key":"2026012114083033500_ehf214415-bib-0002","first-page":"106","article-title":"Dysphagia Megalatriensis: an uncommon cause of dysphagia","volume":"74","author":"Abdallah","year":"2021","journal-title":"S D Med"},{"key":"2026012114083033500_ehf214415-bib-0003","doi-asserted-by":"crossref","first-page":"433","DOI":"10.5811\/westjem.2011.2.2226","article-title":"\u2018playboy bunny\u2019 sign of congestive heart failure","volume":"12","author":"Hokama","year":"2011","journal-title":"West J Emerg Med"},{"key":"2026012114083033500_ehf214415-bib-0004","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2014-209213","article-title":"Atrial enlargement associated with non-valvular atrial fibrillation: an unusual cause of dysphagia and weight loss","volume":"2015","author":"Heng","year":"2015","journal-title":"BMJ Case Rep"},{"key":"2026012114083033500_ehf214415-bib-0005","doi-asserted-by":"crossref","first-page":"e41","DOI":"10.1016\/j.cgh.2009.12.014","article-title":"Electronic image of the month. Cardiac dysphagia","volume":"8","author":"M\u00f6nkem\u00fcller","year":"2010","journal-title":"Clin Gastroenterol Hepatol"},{"key":"2026012114083033500_ehf214415-bib-0006","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.cardfail.2021.03.003","article-title":"Universal definition and classification of heart failure: is it universal? Does it define heart failure?","volume":"27","author":"Lam","year":"2021","journal-title":"J Card Fail"},{"key":"2026012114083033500_ehf214415-bib-0007","doi-asserted-by":"crossref","first-page":"438","DOI":"10.4330\/wjc.v14.i7.438","article-title":"Heart failure with reduced, mildly reduced, or preserved left ventricular ejection fraction: has reasoning been lost?","volume":"14","author":"Xanthopoulos","year":"2022","journal-title":"World J Cardiol"},{"key":"2026012114083033500_ehf214415-bib-0008","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.jchf.2019.09.009","article-title":"Clinical Phenogroups in heart failure with preserved ejection fraction: detailed phenotypes, prognosis, and response to spironolactone","volume":"8","author":"Cohen","year":"2020","journal-title":"JACC Heart Fail"},{"key":"2026012114083033500_ehf214415-bib-0009","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1002\/ejhf.327","article-title":"Characterization of subgroups of heart failure patients with preserved ejection fraction with possible implications for prognosis and treatment response","volume":"17","author":"Kao","year":"2015","journal-title":"Eur J Heart Fail"},{"key":"2026012114083033500_ehf214415-bib-0010","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1161\/CIRCULATIONAHA.116.021884","article-title":"Phenotype-specific treatment of heart failure with preserved ejection fraction: a multiorgan roadmap","volume":"134","author":"Shah","year":"2016","journal-title":"Circulation"},{"key":"2026012114083033500_ehf214415-bib-0011","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1002\/clc.23321","article-title":"Heart failure with preserved ejection fraction: new approaches to diagnosis and management","volume":"43","author":"Upadhya","year":"2020","journal-title":"Clin Cardiol"},{"key":"2026012114083033500_ehf214415-bib-0012","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1056\/NEJMoa2107038","article-title":"Empagliflozin in heart failure with a preserved ejection fraction","volume":"385","author":"Anker","year":"2021","journal-title":"N Engl J Med"},{"key":"2026012114083033500_ehf214415-bib-0013","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1056\/NEJMoa1313731","article-title":"Spironolactone for heart failure with preserved ejection fraction","volume":"370","author":"Pitt","year":"2014","journal-title":"N Engl J Med"},{"key":"2026012114083033500_ehf214415-bib-0014","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1056\/NEJMoa1409077","article-title":"Angiotensin-neprilysin inhibition versus enalapril in heart failure","volume":"371","author":"McMurray","year":"2014","journal-title":"N Engl J Med"},{"key":"2026012114083033500_ehf214415-bib-0015","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1038\/s41569-020-0363-2","article-title":"Evaluation and management of heart failure with preserved ejection fraction","volume":"17","author":"Borlaug","year":"2020","journal-title":"Nat Rev Cardiol"}],"container-title":["ESC Heart Failure"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/10\/4\/2707\/64704962\/eschf_10_4_2707.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eschf\/article-pdf\/10\/4\/2707\/64704962\/eschf_10_4_2707.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:09:07Z","timestamp":1769022547000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eschf\/article\/10\/4\/2707\/8285280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,30]]},"references-count":15,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,5,30]]},"published-print":{"date-parts":[[2023,8,1]]}},"URL":"https:\/\/doi.org\/10.1002\/ehf2.14415","relation":{},"ISSN":["2055-5822"],"issn-type":[{"value":"2055-5822","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,8]]},"published":{"date-parts":[[2023,5,30]]},"assertion":[{"value":"2022-09-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}