Electrocardiographic pseudo‐myocardial infarct pattern in malignant cardiac disease

A patient with disseminated diffuse histiocytic lymphoma had persistent electrocardiographic (ECG) signs of acute myocardial infarction without clinical, enzymatic, or hemodynamic evidence of myocardial necrosis. The ECG findings were felt to be secondary to myocardial tumor invasion by antemortem n...

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Veröffentlicht in:Cancer 1989-03, Vol.63 (5), p.958-962
Hauptverfasser: O'Dea, Daniel, Kay, Richard, Blake, Jeffrey, Rubin, David, Pucillo, Anthony, Davidian, Marianna, Herman, Michael V.
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container_end_page 962
container_issue 5
container_start_page 958
container_title Cancer
container_volume 63
creator O'Dea, Daniel
Kay, Richard
Blake, Jeffrey
Rubin, David
Pucillo, Anthony
Davidian, Marianna
Herman, Michael V.
description A patient with disseminated diffuse histiocytic lymphoma had persistent electrocardiographic (ECG) signs of acute myocardial infarction without clinical, enzymatic, or hemodynamic evidence of myocardial necrosis. The ECG findings were felt to be secondary to myocardial tumor invasion by antemortem non‐invasive testing. This was confirmed by postmortem examination. Based on this report and a literature review, the particular ECG findings noted (lateral leads) are felt to be highly predictive of direct tumor invasion in this setting.
doi_str_mv 10.1002/1097-0142(19890301)63:5<958::AID-CNCR2820630528>3.0.CO;2-Q
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subjects Adult
Biological and medical sciences
Cardiology. Vascular system
Cardiopathies: etiologic forms (general aspects and miscellaneous)
Echocardiography
Electrocardiography
Heart
Heart Neoplasms - complications
Heart Neoplasms - physiopathology
Humans
Lymphoma, Large B-Cell, Diffuse - complications
Male
Medical sciences
Myocardial Infarction - diagnosis
Neoplasm Invasiveness
Pericardium - pathology
Thoracic Neoplasms - complications
Thoracic Neoplasms - pathology
Thoracic Neoplasms - physiopathology
title Electrocardiographic pseudo‐myocardial infarct pattern in malignant cardiac disease
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