Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement

We report a case of a 39-year-old male who presented to the emergency department with acute chest pain while being in remission from T-cell acute lymphoblastic leukemia (T-ALL). Cardiac markers were elevated and EKG revealed ischemic changes compatible with acute myocardial ischemia. Coronary comput...

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Detalles Bibliográficos
Autores principales: Fursevich, Dzmitry, Zuchowski, Colin, Limback, Joseph, Kendall, Melissa, Ramirez, Ashley, Fanaian, Naim, Burt, Jeremy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5564183/
https://www.ncbi.nlm.nih.gov/pubmed/28848680
http://dx.doi.org/10.1155/2017/7298347
Descripción
Sumario:We report a case of a 39-year-old male who presented to the emergency department with acute chest pain while being in remission from T-cell acute lymphoblastic leukemia (T-ALL). Cardiac markers were elevated and EKG revealed ischemic changes compatible with acute myocardial ischemia. Coronary computed tomography angiography (CCTA) showed calcium-free coronary arteries and soft tissue myocardial infiltration suggestive of cardiac leukemia. A bone marrow biopsy confirmed recurrence of T-ALL, and patient was successfully treated with chemotherapy. We discuss the prospective diagnosis of myopericardial leukemic involvement and the role of CCTA in diagnosis and perform a literature review.

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