Development of cardiac tamponade and emergence of arrhythmia during chemotherapy for diffuse large B-cell lymphoma

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  • BABA Yuta
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • SAITO Bungo
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • SHIMADA Shotaro
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • SASAKI Yohei
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • MURAI So
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • ABE Maasa
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • FUJIWARA Shun
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • ARAI Nana
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • KAWAGUCHI Yukiko
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • KABASAWA Nobuyuki
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • TSUKAMOTO Hiroyuki
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • UTO Yui
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • YANAGISAWA Kouji
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • HATTORI Norimichi
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • HARADA Hiroshi
    Division of Hematology, Department of Medicine, Showa University School of Medicine
  • NAKAMAKI Tsuyoshi
    Division of Hematology, Department of Medicine, Showa University School of Medicine

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Other Title
  • 心タンポナーデで発症し経時的に変化する不整脈を伴ったびまん性大細胞型B細胞リンパ腫
  • 症例報告 第9回日本血液学会関東甲信越地方会 優秀演題 心タンポナーデで発症し経時的に変化する不整脈を伴ったびまん性大細胞型B細胞リンパ腫
  • ショウレイ ホウコク ダイ9カイ ニホン ケツエキ ガッカイ カントウ コウシンエツチホウカイ ユウシュウ エンダイ シン タンポナーデ デ ハッショウ シ ケイジテキ ニ ヘンカ スル フセイミャク オ トモナッタ ビマンセイ ダイ サイボウガタ B サイボウ リンパシュ

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Abstract

<p>Cardiac involvement during lymphoma often causes complications, including arrhythmia. A 68-year-old male with cardiac tamponade was diagnosed with diffuse large B-cell lymphoma with cardiac involvement based on the presence of the tumor mass in the myocardium and lymphoma cells in the pericardial effusion. He developed atrial fibrillation, ventricular tachycardia, and atrial flutter after initiating chemotherapy. Following chemotherapy, sinus rhythm was restored without invasive treatment for arrhythmia, while the cardiac mass disappeared. No recurrent arrhythmias were observed. In lymphoma with cardiac involvement, unexpected arrhythmias can emerge after initiation of chemotherapy, which could potentially be related to accelerated cardiac remodeling owing to the rapid relief of cardiac damage. Follow-up using electrocardiogram is thus necessary during chemotherapy for cardiac lymphoma, despite the absence of arrhythmia at the time of diagnosis.</p>

Journal

  • Rinsho Ketsueki

    Rinsho Ketsueki 60 (6), 577-581, 2019

    The Japanese Society of Hematology

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