A case of malignant lymphoma simulating acute myocardial infarction

Yasuhiro Nishikawa; Makoto Akaishi; Shunnosuke Handa; Yoshiro Nakamura; Shingo Hori; Kentaro Ogata; Yasuhiro Hosoda

doi:10.1159/000174817

A case of malignant lymphoma simulating acute myocardial infarction

Yasuhiro Nishikawa, Makoto Akaishi, Shunnosuke Handa, Yoshiro Nakamura, Shingo Hori, Kentaro Ogata, Yasuhiro Hosoda

Department of Emergency and Critical Care Medicine

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

A patient with malignant lymphoma suddenly collapsed, and ST segment elevation with complete atrioventricular block was observed on his electrocardiogram during an episode resembling acute myocardial infarction. Cardiac cineangiography revealed posterobasalasynergy of the left ventricle with no significant obstruction in the coronary arterial tree. Autopsy revealed diffuse invasion of the myocardium by lymphoma cells. Left ventricular wall motion was preserved even in the area of massive invasion; there was no true necrosis. Myocardial biopsy may be indicated in patients in whom there is a discrepancy between coronary pathoanatomy and wall motion abnormalities.

Original language	English
Pages (from-to)	357-362
Number of pages	6
Journal	Cardiology (Switzerland)
Volume	78
Issue number	4
DOIs	https://doi.org/10.1159/000174817
Publication status	Published - 1991

Keywords

Atrioventricular block
Cardiac metastasis
Coronary arteriogram
Exophthalmos
Left ventriculogram
Malignant lymphoma

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Pharmacology (medical)

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10.1159/000174817

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title = "A case of malignant lymphoma simulating acute myocardial infarction",

abstract = "A patient with malignant lymphoma suddenly collapsed, and ST segment elevation with complete atrioventricular block was observed on his electrocardiogram during an episode resembling acute myocardial infarction. Cardiac cineangiography revealed posterobasalasynergy of the left ventricle with no significant obstruction in the coronary arterial tree. Autopsy revealed diffuse invasion of the myocardium by lymphoma cells. Left ventricular wall motion was preserved even in the area of massive invasion; there was no true necrosis. Myocardial biopsy may be indicated in patients in whom there is a discrepancy between coronary pathoanatomy and wall motion abnormalities.",

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author = "Yasuhiro Nishikawa and Makoto Akaishi and Shunnosuke Handa and Yoshiro Nakamura and Shingo Hori and Kentaro Ogata and Yasuhiro Hosoda",

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T1 - A case of malignant lymphoma simulating acute myocardial infarction

AU - Nishikawa, Yasuhiro

AU - Akaishi, Makoto

AU - Handa, Shunnosuke

AU - Nakamura, Yoshiro

AU - Hori, Shingo

AU - Ogata, Kentaro

AU - Hosoda, Yasuhiro

PY - 1991

Y1 - 1991

N2 - A patient with malignant lymphoma suddenly collapsed, and ST segment elevation with complete atrioventricular block was observed on his electrocardiogram during an episode resembling acute myocardial infarction. Cardiac cineangiography revealed posterobasalasynergy of the left ventricle with no significant obstruction in the coronary arterial tree. Autopsy revealed diffuse invasion of the myocardium by lymphoma cells. Left ventricular wall motion was preserved even in the area of massive invasion; there was no true necrosis. Myocardial biopsy may be indicated in patients in whom there is a discrepancy between coronary pathoanatomy and wall motion abnormalities.

AB - A patient with malignant lymphoma suddenly collapsed, and ST segment elevation with complete atrioventricular block was observed on his electrocardiogram during an episode resembling acute myocardial infarction. Cardiac cineangiography revealed posterobasalasynergy of the left ventricle with no significant obstruction in the coronary arterial tree. Autopsy revealed diffuse invasion of the myocardium by lymphoma cells. Left ventricular wall motion was preserved even in the area of massive invasion; there was no true necrosis. Myocardial biopsy may be indicated in patients in whom there is a discrepancy between coronary pathoanatomy and wall motion abnormalities.

KW - Atrioventricular block

KW - Cardiac metastasis

KW - Coronary arteriogram

KW - Exophthalmos

KW - Left ventriculogram

KW - Malignant lymphoma

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A case of malignant lymphoma simulating acute myocardial infarction

Abstract

Keywords

ASJC Scopus subject areas

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