{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:25:31Z","timestamp":1790796331518,"version":"4.1.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T00:00:00Z","timestamp":1592352000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background\u2003<\/jats:title>\n                  <jats:p>Several clinical entities may be misdiagnosed in elderly if we consider dysphagia as a normal aging process in our daily practice. On top of usual aetiologies like motor dysfunction, investigations may uncover serious underlying conditions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary\u2003<\/jats:title>\n                  <jats:p>We report an unusual case where dysphagia was the warning sign for acute heart failure in a 76-year-old patient known to have dilated cardiomyopathy with reduced ejection fraction. It was due to an external oesophageal compression by the left atrium. A transthoracic echocardiography, an enhanced thoracic computed tomography-scan and esophagogastroduodenoscopy were used for the diagnosis. Diuretics were the cornerstone treatment with symptomatic improvement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion\u2003<\/jats:title>\n                  <jats:p>Despite the fact that cardiovascular dysphagia is an uncommon medical entity, but it remains a potential differential diagnosis, especially in elderlies with high risk for atrial enlargement.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa149","type":"journal-article","created":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T17:58:08Z","timestamp":1592416688000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Dysphagia as an early sign of cardiac decompensation in elderly: case report"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3338-0842","authenticated-orcid":false,"given":"Anthony","family":"Matta","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Holy Spirit University of Kaslik, Kaslik, Lebanon"},{"name":"Department of Cardiology, Institute CARDIOMET, Rangueil Hospital, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0316-1523","authenticated-orcid":false,"given":"Khaled","family":"Elenizi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute CARDIOMET, Rangueil Hospital, Toulouse, France"},{"name":"Department of Internal Medicine, College of Medicine, Prince Sattam bin Abdulaziz University, Alkharj 11942, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2479-8144","authenticated-orcid":false,"given":"Didier","family":"Carri\u00e9","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute CARDIOMET, Rangueil Hospital, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4093-0435","authenticated-orcid":false,"given":"Jerome","family":"Roncalli","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Institute CARDIOMET, Rangueil Hospital, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,6,17]]},"reference":[{"key":"2020101507244734000_ytaa149-B1","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.21037\/jtd.2017.10.59","article-title":"Dysphagia in the aging cardiovascular patient","volume":"9","author":"Mouawad","year":"2017","journal-title":"J Thorac Dis"},{"key":"2020101507244734000_ytaa149-B2","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/BF02493524","article-title":"Prevalence of swallowing complaints and clinical findings among 50-79-year-old men and women in an urban population","volume":"6","author":"Lindgren","year":"1991","journal-title":"Dysphagia"},{"key":"2020101507244734000_ytaa149-B3","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/S1010-7940(96)01053-6","article-title":"Diagnostic dilemmas in dysphagia aortica","volume":"11","author":"Wilkinson","year":"1997","journal-title":"Eur J Cardiothorac Surg"},{"key":"2020101507244734000_ytaa149-B4","first-page":"328","article-title":"Giant left atrium and mitral valve disease: early and late results of surgical treatment in 40 cases","volume":"25","author":"Piccoli","year":"1984","journal-title":"J Cardiovasc Surg"},{"key":"2020101507244734000_ytaa149-B5","doi-asserted-by":"crossref","first-page":"2234","DOI":"10.1093\/eurheartj\/ehn329","article-title":"Electrical remodeling of the left and right atria due to rheumatic mitral stenosis","volume":"29","author":"John","year":"2008","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/4\/1\/33889521\/ytaa149.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ehjcr\/article-pdf\/4\/4\/1\/33889521\/ytaa149.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,15]],"date-time":"2020-10-15T11:33:33Z","timestamp":1602761613000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/4\/4\/1\/5859002"}},"subtitle":[],"editor":[{"given":"Yuichi","family":"Tamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Andre","family":"Dias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Subhi","family":"Akleh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Christian Fielder","family":"Camm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]},{"given":"Peysh A","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,6,17]]},"references-count":5,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,6,17]]},"published-print":{"date-parts":[[2020,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaa149","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,8]]},"published":{"date-parts":[[2020,6,17]]}}}