Why the study?
Clinical manifestations of secondary cardiac involvement in lymphoma are subtle and often go unrecognized until advanced stages.
Metastatic cardiac lymphoma can rarely present as STEMI complicated by left ventricular free wall rupture and cardiogenic shock due to transmural myocardial necrosis.
Alerts clinicians to lymphoma as rare STEMI mimic with rupture; leaves open role of cardiac imaging in lymphoma.
The incidence of primary cardiac tumors is exceedingly rare, whereas secondary cardiac tumors are more common in the global population. Cardiac involvement is seen in approximately 18% of patients with non-Hodgkin's lymphoma at the time of autopsy. Clinical manifestations of cardiac involvement are subtle and often go unrecognized until advanced stages of the disease. We present a rare case of metastatic cardiac lymphoma that presented as an ST-segment elevation myocardial infarction complicated by left ventricular free wall rupture and cardiogenic shock due to transmural myocardial necrosis from malignant cell infiltration.
No takes yet. Share an insight, caveat, or question.
Raza et al. (2020) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: