Key result
Stenting fails to prevent fatal acute MI in a patient with prior Hodgkin's chemoradiation.
This case highlights a fatal presentation of acute myocardial infarction with cardiogenic shock in a patient with a history of childhood Hodgkin's lymphoma treated with radiation and chemotherapy.
Signals refractory cardiogenic shock risk after MI in chemoradiation survivors; leaves open targeted prevention strategies.
A 56-year-old woman was admitted because of the sudden onset of dyspnea and hypotension. At 16 years of age, she had received combination chemotherapy and extended-field radiation therapy for Hodgkin's lymphoma. On admission, an electrocardiogram showed an acute myocardial infarction. A stent was placed, but hypotension and acidosis persisted, and the patient died.
No takes yet. Share an insight, caveat, or question.
Ng et al. (2010) studied this question. A 56-year-old woman with prior chemoradiation for Hodgkin's lymphoma died from an acute myocardial infarction complicated by persistent hypotension and acidosis despite stent placement.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: