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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Bibliographic Details
Published in:Cancer 1989-03, Vol.63 (5), p.958-962
Main Authors: O'Dea, Daniel, Kay, Richard, Blake, Jeffrey, Rubin, David, Pucillo, Anthony, Davidian, Marianna, Herman, Michael V.
Format: Article
Language:English
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
Citations: Items that this one cites
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Description
Summary: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.
ISSN:0008-543X
1097-0142
DOI:10.1002/1097-0142(19890301)63:5<958::AID-CNCR2820630528>3.0.CO;2-Q