“…The chief complaint at the first visit was heart failure-related symptoms ( 2 , 5 , 11 , 12 , 14 , 17 , 20 , 22 , 25 , 27 , 28 , 30 ), symptoms related to underlying tumors ( 4 , 7 - 10 , 13 , 15 , 16 , 18 , 19 , 21 , 23 , 24 ), and both ( 3 , 6 , 26 , 29 ) in 13, 13, and 4 previously published cases, respectively. About half of the patients presented with symptoms associated with heart failure at the first visit.…”