Cardiac infiltration of diffuse large B-cell lymphoma manifesting as
sustained ventricular tachycardia: a case report.
Abstract
We present a 77-year-old man suffer from suspected cardiac infiltration
of diffuse large B-cell lymphoma manifesting as sustained ventricular
tachycardia. Neither antiarrhythmic drugs nor defibrillation can
terminate VT episodes. the ECG showed sustained wide QRS tachycardia
with left bundle branch block (LBBB) morphology and QRS complex positive
in lead I and aVL, which inferred the tachy-arrhythmia would originated
from the anterior wall of the right ventricle, this was consistent with
the exact location of the tracer high-uptake on prior PET-CT.
Chemotherapy was started urgently, the electrical-storm was eliminated
within 48 hours and did not recur during three months of follow up. We
will discuss the clinical presentation, diagnostic procedure, treatment
and some reflections.