Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein- Str. 4, 60431 Frankfurt/M, Germany.
Cardioangiologisches Centrum Bethanien, Agaplesion Markus-Krankenhaus, Wilhelm-Epstein- Str. 4, 60431 Frankfurt/M, Germany.
J Electrocardiol. 2024 Jul-Aug;85:37-38. doi: 10.1016/j.jelectrocard.2024.05.103. Epub 2024 May 29.
We present the case of a 60-year-old male patient who was admitted to our hospital after experiencing a syncopal episode. First ECGs showed sinus rhythm with polymorphic premature ventricular complexes and later ventricular tachycardia with a left bundle branch block morphology were recorded. Imaging with TEE and MRI revealed a space-occupying lesion in the left ventricle, which was ultimately identified as a rare cardiac metastasis of renal cell carcinoma. Treatment was initiated with monoclonal antibodies resulting in lesion regression. This case highlights the importance of comprehensive diagnostic in patients with history of malignancy.
我们报告了一例 60 岁男性患者，该患者因晕厥发作而入院。最初的心电图显示窦性节律伴多形性室性早搏，随后记录到室性心动过速伴左束支传导阻滞形态。经 TEE 和 MRI 成像显示左心室有占位性病变，最终被确定为肾细胞癌的一种罕见心脏转移。治疗开始使用单克隆抗体，导致病变消退。本病例强调了对有恶性肿瘤病史患者进行全面诊断的重要性。
