Primary Cardiac Lymphoma Presenting Clinically as Restrictive Cardiomyopathy
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概要
- 論文の詳細を見る
An unusual case of primary cardiac lymphoma presenting as restrictive cardiomyopathy with arrhythmia is reported in a 72-year-old woman who was admitted for evaluation of exertional dyspnea and palpitations. Electrocardiography (ECG) showed atrioventricular dissociation and right heart cardiac catheterization revealed a typical 'dip-and-plateau' waveform. Restrictive cardiomyopathy was suspected because computed tomography (CT) did not reveal pericardial thickening, calcifications, or an effusion. Heart failure initially improved with diuretic therapy, but subsequently worsened, and the patient experienced a syncopal episode. ECG showed atrial fibrillation, and CT revealed a large mass in the right atrium and multiple tumors in the liver, which needle biopsy confirmed as diffuse large B-cell lymphoma. Chemotherapy induced complete remission, and her heart failure markedly improved. The 'dip-and-plateau' waveform was no longer detected on repeat cardiac catheterization and the ECG showed restoration of sinus rhythm. Clinically, the diagnosis was primary cardiac lymphoma.
- 社団法人日本循環器学会の論文
- 2005-01-20
著者
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Saito Tetsuya
Department of Cardiovascular Medicine, Graduate School of Medicine, University of Tokyo
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Kira Yuji
Department Of Cardiology Showa General Hospital
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FUJITA Akira
Department of Hematology, Showa General Hospital
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TANAKA Takahiro
Department of Mathematics, Physics and Earth Science, Faculty of Science and Engineering, Ehime Univ
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Saito Tetsuya
Department Of Biological And Chemical Engineering Faculty Of Engineering Gunma University:the Mushro
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Sada Toshikatsu
Department Of Cardiology Showa General Hospital
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Fujisaki Joji
Departments of Cardiology, Showa General Hospital
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Kato Jyundai
Departments of Cardiology, Showa General Hospital
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Yano Kohei
Departments of Cardiology, Showa General Hospital
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Shimizu Yutaka
Departments of Cardiology, Showa General Hospital
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Kitazume Kouichi
Departments of Hematology, Showa General Hospital
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Yano Kohei
Departments Of Cardiology Showa General Hospital
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Yano Kohei
Department Of Applied Chemistry Faculty Of Engineering Kyushu University
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Kato Jyundai
Departments Of Cardiology Showa General Hospital
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Fujisaki Joji
Departments Of Cardiology Showa General Hospital
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Fujita Akira
Department Of Biology Faculty Of Education Gifu University
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Fujita Akira
Departments Of Hematology Showa General Hospital
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Kitazume Kouichi
Departments Of Hematology Showa General Hospital
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Shimizu Yutaka
Departments Of Cardiology Showa General Hospital
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Shimizu Yutaka
Department Of Materials Science And Technology Faculty Of Science And Technology Hirosaki University
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Tanaka Takahiro
Department Of Cardiology Showa General Hospital
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Saito Tetsuya
Departments Of Cardiology Showa General Hospital
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SHIMIZU Yutaka
Department of Fisheries, Faculty of Agriculture, Kyoto University
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