Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Harrington Heart and Vascular Institute, University Hospital Cleveland Medical Center, Cleveland, Ohio, USA.
Echocardiography. 2021 Aug;38(8):1446-1449. doi: 10.1111/echo.15135. Epub 2021 Jun 29.
Pericarditis is a rare but debilitating complication of cytarabine therapy. While echocardiography can aid with the diagnosis, cardiac MRI has superior accuracy in establishing the diagnosis. In this case, we describe a 65-year-old patient receiving cytarabine as part of induction chemotherapy for acute myeloid leukemia who developed acute pericarditis. Her cardiac MRI revealed pericardial edema on T2-weighted STIR imaging and pericardial late gadolinium enhancement which confirmed the diagnosis.
心包炎是阿糖胞苷治疗的一种罕见但使人虚弱的并发症。虽然超声心动图有助于诊断，但心脏 MRI 在确定诊断方面具有更高的准确性。在本例中，我们描述了一位 65 岁的患者，她在接受急性髓细胞性白血病诱导化疗时接受了阿糖胞苷治疗，随后发生了急性心包炎。她的心脏 MRI 在 T2 加权 STIR 成像上显示心包水肿，在心包延迟钆增强上显示心包强化，从而确诊了心包炎。
