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白血病性缺血：一例继发于白血病性心脏受累的心肌梗死病例。

Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement.

作者信息

Fursevich Dzmitry, Zuchowski Colin, Limback Joseph, Kendall Melissa, Ramirez Ashley, Fanaian Naim, Burt Jeremy

机构信息

Florida Hospital, Orlando, FL, USA.

出版信息

Case Rep Cardiol. 2017;2017:7298347. doi: 10.1155/2017/7298347. Epub 2017 Aug 7.

DOI:10.1155/2017/7298347
PMID:28848680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5564183/
Abstract

We report a case of a 39-year-old male who presented to the emergency department with acute chest pain while being in remission from T-cell acute lymphoblastic leukemia (T-ALL). Cardiac markers were elevated and EKG revealed ischemic changes compatible with acute myocardial ischemia. Coronary computed tomography angiography (CCTA) showed calcium-free coronary arteries and soft tissue myocardial infiltration suggestive of cardiac leukemia. A bone marrow biopsy confirmed recurrence of T-ALL, and patient was successfully treated with chemotherapy. We discuss the prospective diagnosis of myopericardial leukemic involvement and the role of CCTA in diagnosis and perform a literature review.

摘要

我们报告一例39岁男性，该患者在T细胞急性淋巴细胞白血病（T-ALL）缓解期因急性胸痛就诊于急诊科。心脏标志物升高，心电图显示与急性心肌缺血相符的缺血性改变。冠状动脉计算机断层扫描血管造影（CCTA）显示冠状动脉无钙化，软组织心肌浸润提示心脏白血病。骨髓活检证实T-ALL复发，患者接受化疗后成功治愈。我们讨论了心肌心包白血病累及的前瞻性诊断以及CCTA在诊断中的作用，并进行了文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/559c/5564183/099d7c3c83ad/CRIC2017-7298347.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/559c/5564183/2d982dd85ed1/CRIC2017-7298347.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/559c/5564183/a61537cfcb30/CRIC2017-7298347.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/559c/5564183/099d7c3c83ad/CRIC2017-7298347.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/559c/5564183/2d982dd85ed1/CRIC2017-7298347.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/559c/5564183/a61537cfcb30/CRIC2017-7298347.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/559c/5564183/099d7c3c83ad/CRIC2017-7298347.003.jpg

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