原发性心脏T细胞淋巴瘤病例中的完全性房室传导阻滞和尖端扭转型室速
Complete AV Block and Torsades de Pointes in a Case of Primary Cardiac T-Cell Lymphoma.
作者信息
Wang Tzu-Lin, Lai Chih-Hung, Liou Jer-Young, Lo Huey-Ming, Shyu Kou-Gi
机构信息
Division of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital; ; Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei;
Division of Interventional Cardiology, Cardiovascular Center, Taichung Veterans General Hospital, Taichung, and School of Medicine, National Yang- Ming University, Taipei, Taiwan.
出版信息
Acta Cardiol Sin. 2015 May;31(3):245-8. doi: 10.6515/acs20141117a.
UNLABELLED
Primary cardiac lymphoma is very rare, and the most common electrocardiographic finding in this condition is complete atrioventricular block. After electrolytic, metabolic, ischemic, infectious, and traumatic etiologies have been excluded, primary cardiac lymphoma should be consided as a possible cause of reversible atrioventricular block. Most patients with primary cardiac lymphoma are immunocompromised and have disease with a B-cell etiology. This is the first case report of a primary cardiac T-cell lymphoma with complete atrioventricular block and torsades de pointes in an immunocompetent patient who was successfully treated using chemotherapy.
KEY WORDS
Atrioventricular block; T-cell lymphoma; Torsades de pointes.
未标注
原发性心脏淋巴瘤非常罕见，这种情况下最常见的心电图表现是完全性房室传导阻滞。在排除电解、代谢、缺血、感染和创伤性病因后，原发性心脏淋巴瘤应被视为可逆性房室传导阻滞的可能病因。大多数原发性心脏淋巴瘤患者免疫功能低下，病因是B细胞疾病。这是首例关于原发性心脏T细胞淋巴瘤伴完全性房室传导阻滞和尖端扭转型室速的病例报告，该免疫功能正常的患者通过化疗成功治愈。
关键词
房室传导阻滞；T细胞淋巴瘤；尖端扭转型室速
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