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Kolesnik, E; Stangl, V; Haring, B; Scherr, D; Rainer, PP.
Cardiac relapse of extranodal NK/T-cell lymphoma manifesting as incessant ventricular tachycardia: a case report.
Eur Heart J Case Rep. 2022; 6(9): ytac363 Doi: 10.1093/ehjcr/ytac363 (- Case Report) [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Kolesnik Ewald
Rainer Peter
Co-Autor*innen der Med Uni Graz
Haring Bernhard
Scherr Daniel
Stangl Verena Maria

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Background: Cardiac tumours are rare but affected patients may present with symptoms mimicking other cardiac diseases. The most frequent symptoms include heart failure, arrhythmias, or embolic phenomena. Case summary: A 39-year-old man with a history of extranodal NK/T-cell lymphoma of the nasal type (ENKTL-NT) in clinical remission presented at our department with incessant ventricular tachycardia. The arrhythmia could only be controlled with a combination of intravenously administered beta-blockers, ajmaline, and amiodarone. Diagnostic workup excluded ischaemia, but imaging revealed a tumour located in the apex of the left ventricle. Endomyocardial biopsy confirmed the diagnosis of cardiac relapse of ENKTL-NT. Upon chemotherapy no further arrhythmias developed. Discussion: Many malignancies can metastasize into the heart. Multimodal imaging including echocardiography, cardiac magnetic resonance imaging, and a positron-emission tomography computed tomography paved the way to the diagnosis that was finally established by endomyocardial biopsy. In the present case, a cardiac metastasis from an ENKTL-NT presented with incessant ventricular tachycardia.

Find related publications in this database (Keywords)
Incessant ventricular tachycardia
Cardiac metastasis
Extranodal NK
T-cell lymphomas
Case report
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