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Carcinoid heart disease — RCPSC IM MCQ

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HardCardiologyCarcinoid heart diseaseRCPSC IM

A 37-year-old woman has episodic wheeze, flushing, diarrhoea, and right-sided heart failure. Echocardiography shows thickened, retracted tricuspid leaflets with severe regurgitation. CT abdomen shows multiple liver lesions and a mesenteric mass. What is the most likely diagnosis?

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Correct answer: B — Carcinoid heart disease

Flushing, diarrhoea, hepatic metastases, and right-sided valvular fibrosis are typical of carcinoid syndrome with carcinoid heart disease.

Reference: Canadian cardiology and neuroendocrine tumour practice guidance