Acute hoarseness in severe heart failure: Ortner's Syndrome

Introduction: All cardiac conditions that cause the left or right hemilarynx palsy can be defined as Ortner's syndrome. Case Presentation: A 57-year-old man was urgently admitted to the Cardiology Department for laboured breathing and a clinical suspicion of heart failure. An emergency consulta...

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Main Authors: Gavrić Jelena, Valjarević Svetlana, Jovanović Anđelina, Jovanović Milan B.
Format: Article
Language:English
Published: City Medical emergency department, Belgrade 2024-01-01
Series:Halo 194
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401021G.pdf
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author Gavrić Jelena
Valjarević Svetlana
Jovanović Anđelina
Jovanović Milan B.
author_facet Gavrić Jelena
Valjarević Svetlana
Jovanović Anđelina
Jovanović Milan B.
author_sort Gavrić Jelena
collection DOAJ
description Introduction: All cardiac conditions that cause the left or right hemilarynx palsy can be defined as Ortner's syndrome. Case Presentation: A 57-year-old man was urgently admitted to the Cardiology Department for laboured breathing and a clinical suspicion of heart failure. An emergency consultation by an otorhinolaryngologist was sought because he was complaining of a choking sensation in addition to hoarseness. Fiberoptic nasopharyngolaryngoscopy revealed restricted mobility of his left hemilarynx. His ECG tracing showed signs of chronic heart failure. Computed tomography of the neck and chest with intravenous contrast confirmed cardiomegaly with mediastinal structure displacement. Betablockers, diuretics, angiotensin receptor blockers, and allopurinol were prescribed, resulting in improved breathing. Conclusion: Hoarseness can be an initial sign of a potentially lethal illness. Early recognition and treatment of the underlying cardiovascular condition are crucial for the patient's recovery. It is essential to emphasize that a dyspneic patient requires a thorough cardiac assessment as well as an examination by an otorhinolaryngologist.
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id doaj-art-4461d0925587427a8ef0fd6a9c709a0b
institution Kabale University
issn 2334-6477
language English
publishDate 2024-01-01
publisher City Medical emergency department, Belgrade
record_format Article
series Halo 194
spelling doaj-art-4461d0925587427a8ef0fd6a9c709a0b2025-02-05T13:08:08ZengCity Medical emergency department, BelgradeHalo 1942334-64772024-01-01301212510.5937/halo2401021G2334-64772401021GAcute hoarseness in severe heart failure: Ortner's SyndromeGavrić Jelena0Valjarević Svetlana1https://orcid.org/0000-0002-1565-8724Jovanović Anđelina2https://orcid.org/0009-0009-8880-425XJovanović Milan B.3Kliničko-bolnički centar Zemun, Beograd, SerbiaKliničko-bolnički centar Zemun, Beograd, SerbiaKliničko-bolnički centar Zemun, Beograd, SerbiaKliničko-bolnički centar Zemun, Beograd, SerbiaIntroduction: All cardiac conditions that cause the left or right hemilarynx palsy can be defined as Ortner's syndrome. Case Presentation: A 57-year-old man was urgently admitted to the Cardiology Department for laboured breathing and a clinical suspicion of heart failure. An emergency consultation by an otorhinolaryngologist was sought because he was complaining of a choking sensation in addition to hoarseness. Fiberoptic nasopharyngolaryngoscopy revealed restricted mobility of his left hemilarynx. His ECG tracing showed signs of chronic heart failure. Computed tomography of the neck and chest with intravenous contrast confirmed cardiomegaly with mediastinal structure displacement. Betablockers, diuretics, angiotensin receptor blockers, and allopurinol were prescribed, resulting in improved breathing. Conclusion: Hoarseness can be an initial sign of a potentially lethal illness. Early recognition and treatment of the underlying cardiovascular condition are crucial for the patient's recovery. It is essential to emphasize that a dyspneic patient requires a thorough cardiac assessment as well as an examination by an otorhinolaryngologist.https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401021G.pdfheart failurehoarsenessortner's syndromerecurrent laryngeal nerve
spellingShingle Gavrić Jelena
Valjarević Svetlana
Jovanović Anđelina
Jovanović Milan B.
Acute hoarseness in severe heart failure: Ortner's Syndrome
Halo 194
heart failure
hoarseness
ortner's syndrome
recurrent laryngeal nerve
title Acute hoarseness in severe heart failure: Ortner's Syndrome
title_full Acute hoarseness in severe heart failure: Ortner's Syndrome
title_fullStr Acute hoarseness in severe heart failure: Ortner's Syndrome
title_full_unstemmed Acute hoarseness in severe heart failure: Ortner's Syndrome
title_short Acute hoarseness in severe heart failure: Ortner's Syndrome
title_sort acute hoarseness in severe heart failure ortner s syndrome
topic heart failure
hoarseness
ortner's syndrome
recurrent laryngeal nerve
url https://scindeks-clanci.ceon.rs/data/pdf/2334-6477/2024/2334-64772401021G.pdf
work_keys_str_mv AT gavricjelena acutehoarsenessinsevereheartfailureortnerssyndrome
AT valjarevicsvetlana acutehoarsenessinsevereheartfailureortnerssyndrome
AT jovanovicanđelina acutehoarsenessinsevereheartfailureortnerssyndrome
AT jovanovicmilanb acutehoarsenessinsevereheartfailureortnerssyndrome