Renal cell carcinoma is characterized by varied manifestations, which include unusual metastatic sites and paraneoplastic and vascular syndromes. We describe the case of a 57-year-old man who presented with high fever, weight loss, palpitations and a tender goitre. We suggest that, in this patient, subacute thyroiditis manifested as a paraneoplastic syndrome of renal cell carcinoma.

1. What are the signs and symptoms of hyperthyroidism? General: Heat intolerance, perspiration, flushing, tremor, sleep disturbance, or hair loss. Psychological: Nervousness, emotional lability, anxiety, aggressiveness, or delusions. Cardiovascular: Palpitations, tachycardia, or supraventricular dysrhythmias. Respiratory: Breathlessness or hoarseness. Gastrointestinal: Increased appetite, weigh...

Diagnosis of a hiatal hernia (HH) is typically made using an upper gastro-intestinal barium X-ray. A complementary test is gastroscopy or upper-intestinal endoscopy. There are reports in which HH has been diagnosed by echocardiography. We here describe a case of a HH visible on an echocardiogram in a female with palpitations.

Atrial fibrillation (AF) is the most common arrhythmia in clinical practice. It may cause symptoms such as palpitations, dyspnoea, fatigue, dizziness or chest discomfort. Mortality risk has been reported to be twice as high when patients are in AF compared to sinus rhythm. As the incidence increases with age and the total number of elderly patients expands, the future clinical burden will be si...

A case of a 58-year-old woman with occasionally diagnosed persistent atrial fibrillation (AF) is presented. The patient for many years experienced palpitations relived by oral propranolol treatment. After electrical cardioversion of AF to sinus rhythm prolongation of the QTc interval up to 520 ms became evident. Molecular screening of LQTS-related genes revealed the presence of R231S mutation i...

Introduction Palpitations are a common cause of referral to cardiology clinics for specialist assessment. Although some patients experience true arrhythmias, many have benign ectopic beats only. Echocardiography is routinely performed in such patients, but whether it required all with palpitations unknown. Purpose To analyse the echocardiographic findings presenting and assess...

OBJECTIVE To compare the diagnostic yield and cost-effectiveness of transtelephonic event monitors with those of Holter monitoring in patients with intermittent palpitations. DESIGN Randomized crossover trial. SETTING Diagnostic service of a teaching hospital and surrounding primary care practices. PATIENTS 43 patients with previously uninvestigated palpitations who were referred for Holt...

OBJECTIVE To evaluate efficacy of the recently introduced implantable loop recorder (ILR) in establishing symptom-rhythm correlation in young patients with syncope, near syncope, palpitations, and acute life-threatening events (ALTEs). METHODS A retrospective study was conducted with patients with ILR from 3 pediatric centers. Inclusion criteria were age <or=25 years and a minimum follow-up o...