A CASE OF MALIGNANT-LYMPHOMA SIMULATING ACUTE MYOCARDIAL-INFARCTION

被引：11

作者：

NISHIKAWA, Y

AKAISHI, M

HANDA, S

NAKAMURA, Y

HORI, S

OGATA, K

HOSODA, Y

机构：

[1] KEIO UNIV,SCH MED,DEPT MED,DIV CARDIOPULM,35 SHINANOMACHI,SHINJUKU KU,TOKYO 160,JAPAN

[2] KEIO UNIV,SCH MED,DEPT EMERGENCY MED,TOKYO 160,JAPAN

[3] KEIO UNIV,SCH MED,DEPT PATHOL,TOKYO 160,JAPAN

来源：

CARDIOLOGY | 1991年 / 78卷 / 04期

关键词：

CARDIAC METASTASIS; EXOPHTHALMOS; MALIGNANT LYMPHOMA; ATRIOVENTRICULAR BLOCK; LEFT VENTRICULOGRAM; CORONARY ARTERIOGRAM;

D O I：

10.1159/000174817

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 posterobasal asynergy 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.

引用

页码：357 / 362

页数：6

共 19 条

[1] MYOCARDIAL-INFARCTION DUE TO METASTASIS OF CHORIOCARCINOMA IN A 29-YEAR-OLD WOMAN [J].