Hiatal hernia: An unusual presentation of dyspnea.
BACKGROUND
Hiatal hernia is an infrequent but serious cause of dyspnea. We report a case of acute dyspnea and paroxysmal nocturnal dyspnea secondary to hiatal hernia and epicardial fat pad.


METHODS
A 78-year-old woman presented with dyspnea and paroxysmal nocturnal dyspnea. Lab data and physical examination were normal. Computed tomography scan demonstrated a large hiatal hernia and epicardial fat pad.


CONCLUSIONS
Although rare, hiatal hernia should be suspected in patients who develop unexplained dyspnea.
Department of Echocardiography, Azad University Najafabad Branch, Iran.
Seied Ahmad
SA
Mirdamadi
Mahfar
M
Arasteh