Haemodynamic instability secondary to cardiac involvement by lymphoma.
Cardiac involvement in lymphomas is not uncommon, but it is often missed due to the variability in its presentation. We present a case of bradycardia and complete heart block resulting in haemodynamic instability in a patient with recurrent diffuse large B-cell lymphoma. Timely diagnosis and appropriate management of such patients is crucial and requires a high index of suspicion. Our patient required temporary pacemaker implantation and intravenous corticosteroid therapy. His complete heart block and bradycardia eventually resolved after a course of radiation therapy.
Rush Medical College, Rush University Medical Center, Chicago, Illinois, USA.
Kumar Siddharth
KS
Lal
Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Rana Zouveenoor
RZ
Tariq
Department of Internal Medicine-Cardiology, Rush University Medical Center, Chicago, Illinois, USA.
Tochi
T
Okwuosa
D061605:Administration, Intravenous; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000368:Aged; D054537:Atrioventricular Block / Q000209:etiology / Q000628:therapy; D001919:Bradycardia / Q000209:etiology* / Q000628:therapy; D006338:Heart Neoplasms / Q000503:physiopathology* / Q000532:radiotherapy; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000503:physiopathology* / Q000532:radiotherapy; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000503:physiopathology* / Q000532:radiotherapy; D010138:Pacemaker, Artificial; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones