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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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2017/7298347 |
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| _version_ | 1849412016559620096 |
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| author | Dzmitry Fursevich Colin Zuchowski Joseph Limback Melissa Kendall Ashley Ramirez Naim Fanaian Jeremy Burt |
| author_facet | Dzmitry Fursevich Colin Zuchowski Joseph Limback Melissa Kendall Ashley Ramirez Naim Fanaian Jeremy Burt |
| author_sort | Dzmitry Fursevich |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-650c8b033ada42beb476bc56e9ceca09 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-650c8b033ada42beb476bc56e9ceca092025-08-20T03:34:35ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/72983477298347Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac InvolvementDzmitry Fursevich0Colin Zuchowski1Joseph Limback2Melissa Kendall3Ashley Ramirez4Naim Fanaian5Jeremy Burt6Florida Hospital, Orlando, FL, USAFlorida Hospital, Orlando, FL, USAFlorida Hospital, Orlando, FL, USAFlorida Hospital, Orlando, FL, USAFlorida Hospital, Orlando, FL, USAFlorida Hospital, Orlando, FL, USAFlorida Hospital, Orlando, FL, USAWe 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.http://dx.doi.org/10.1155/2017/7298347 |
| spellingShingle | Dzmitry Fursevich Colin Zuchowski Joseph Limback Melissa Kendall Ashley Ramirez Naim Fanaian Jeremy Burt Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement Case Reports in Cardiology |
| title | Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement |
| title_full | Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement |
| title_fullStr | Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement |
| title_full_unstemmed | Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement |
| title_short | Leukemic Ischemia: A Case of Myocardial Infarction Secondary to Leukemic Cardiac Involvement |
| title_sort | leukemic ischemia a case of myocardial infarction secondary to leukemic cardiac involvement |
| url | http://dx.doi.org/10.1155/2017/7298347 |
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