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The cause was uncertain as she had normal cardiothoracic ratio on chest radiography and normal left ventricular systolic and diastolic function by transthoracic echocardiogram. Another transthoracic echocardiogram was repeated when she was recumbent for an hour and had a full stomach. It showed a striking finding of severe left atrial compression by an external structure. Computed tomography of the thorax showed an intrathoracic mass behind the left atrium causing external compression of the left atrium suggestive of a sliding hiatus hernia. Cardiac catheterisation confirmed the diagnosis by showing a pronounced rise of pulmonary capillary wedge pressure in the recumbent position compared with the sitting up position.<\/jats:p>","DOI":"10.1136\/pgmj.2004.023416","type":"journal-article","created":{"date-parts":[[2005,4,5]],"date-time":"2005-04-05T18:14:14Z","timestamp":1112724854000},"page":"268-269","source":"Crossref","is-referenced-by-count":44,"title":["Recurrent acute heart failure caused by sliding hiatus hernia"],"prefix":"10.1093","volume":"81","author":[{"given":"C-W","family":"Siu","sequence":"first","affiliation":[{"name":"Department of Medicine, Queen Mary Hospital, The University of Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M-H","family":"Jim","sequence":"additional","affiliation":[{"name":"Department of Medicine, Queen Mary Hospital, The University of Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H-H","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Medicine, Queen Mary Hospital, The University of Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Queen Mary Hospital, The University of Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H-W","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Queen Mary Hospital, The University of Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C-P","family":"Lau","sequence":"additional","affiliation":[{"name":"Department of Medicine, Queen Mary Hospital, The University of Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H-F","family":"Tse","sequence":"additional","affiliation":[{"name":"Department of Medicine, Queen Mary Hospital, The University of Hong Kong , Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2005,4,5]]},"reference":[{"key":"2023042408270453600_R1","first-page":"1355","volume-title":"Harrison\u2019s principles of internal medicine","author":"Goyal","year":"1994"},{"key":"2023042408270453600_R2","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/S0022-5223(98)70442-8","article-title":"Massive hiatus hernia: evaluation and surgical management","volume":"115","author":"Maziak","year":"1998","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023042408270453600_R3","first-page":"29","article-title":"Large hiatus hernia compressing the heart and impairing the respiratory function","volume":"41","author":"Ito","year":"2003","journal-title":"J Cardiol"},{"key":"2023042408270453600_R4","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1136\/heart.83.5.550","article-title":"Strangulated gastric volvulus: an unusual cause of cardiac compression resulting in electromechanical dissociation","volume":"83","author":"Kalra","year":"2000","journal-title":"Heart"},{"key":"2023042408270453600_R5","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1161\/01.CIR.93.4.836","article-title":"Hiatal hernia masquerading as left atrial mass","volume":"93","author":"Yang","year":"1996","journal-title":"Circulation"},{"key":"2023042408270453600_R6","first-page":"635","article-title":"False left atrial mass caused by hiatal hernia: a clinical case and review of the literature","volume":"43","author":"Airoldi","year":"1998","journal-title":"Cardiologia"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/81\/954\/268\/50025706\/postgradmedj-81-268.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/81\/954\/268\/50025706\/postgradmedj-81-268.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T08:30:49Z","timestamp":1682325049000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/81\/954\/268\/7031922"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,4,1]]},"references-count":6,"journal-issue":{"issue":"954","published-online":{"date-parts":[[2005,4,5]]},"published-print":{"date-parts":[[2005,4,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.2004.023416","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2005,4]]},"published":{"date-parts":[[2005,4,1]]}}}