Cardiogenic shock due to progression of cutaneous T-cell lymphoma

Dennis L. Cooper, John H. Sinard, Richard L. Edelson, Stuart D Flynn

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We describe a patient with progressive cutaneous T-cell lymphoma (CTCL) and development of subacute cardiac failure. Symptomatic lymphomatous involvement of the heart may be more common in patients with CTCL than in other lymphomas because the former is more likely to be associated with circulating tumor cells and hematogenous spread to the myocardium. No single symptom or sign is highly predictive of cardiac involvement, but unexplained tachyarrhythmias, conduction disturbances, low voltage on ECG, and unexplained cardiac enlargement should arouse clinical suspicion. Although echocardiography may be helpful in suggesting cardiac involvement, endomyocardial biopsy should be considered in patients with a reasonable chance of responding to chemotherapy or radiation.

Original languageEnglish (US)
Pages (from-to)89-94
Number of pages6
JournalSouthern Medical Journal
Volume87
Issue number1
StatePublished - 1994
Externally publishedYes

Fingerprint

Cutaneous T-Cell Lymphoma
Cardiogenic Shock
Circulating Neoplastic Cells
Tachycardia
Signs and Symptoms
Echocardiography
Lymphoma
Myocardium
Electrocardiography
Heart Failure
Radiation
Biopsy
Drug Therapy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cooper, D. L., Sinard, J. H., Edelson, R. L., & Flynn, S. D. (1994). Cardiogenic shock due to progression of cutaneous T-cell lymphoma. Southern Medical Journal, 87(1), 89-94.

Cardiogenic shock due to progression of cutaneous T-cell lymphoma. / Cooper, Dennis L.; Sinard, John H.; Edelson, Richard L.; Flynn, Stuart D.

In: Southern Medical Journal, Vol. 87, No. 1, 1994, p. 89-94.

Research output: Contribution to journalArticle

Cooper, DL, Sinard, JH, Edelson, RL & Flynn, SD 1994, 'Cardiogenic shock due to progression of cutaneous T-cell lymphoma', Southern Medical Journal, vol. 87, no. 1, pp. 89-94.
Cooper, Dennis L. ; Sinard, John H. ; Edelson, Richard L. ; Flynn, Stuart D. / Cardiogenic shock due to progression of cutaneous T-cell lymphoma. In: Southern Medical Journal. 1994 ; Vol. 87, No. 1. pp. 89-94.
@article{2ca4ec09692f49ca9e42e73e7e6eeeb6,
title = "Cardiogenic shock due to progression of cutaneous T-cell lymphoma",
abstract = "We describe a patient with progressive cutaneous T-cell lymphoma (CTCL) and development of subacute cardiac failure. Symptomatic lymphomatous involvement of the heart may be more common in patients with CTCL than in other lymphomas because the former is more likely to be associated with circulating tumor cells and hematogenous spread to the myocardium. No single symptom or sign is highly predictive of cardiac involvement, but unexplained tachyarrhythmias, conduction disturbances, low voltage on ECG, and unexplained cardiac enlargement should arouse clinical suspicion. Although echocardiography may be helpful in suggesting cardiac involvement, endomyocardial biopsy should be considered in patients with a reasonable chance of responding to chemotherapy or radiation.",
author = "Cooper, {Dennis L.} and Sinard, {John H.} and Edelson, {Richard L.} and Flynn, {Stuart D}",
year = "1994",
language = "English (US)",
volume = "87",
pages = "89--94",
journal = "Southern Medical Journal",
issn = "0038-4348",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Cardiogenic shock due to progression of cutaneous T-cell lymphoma

AU - Cooper, Dennis L.

AU - Sinard, John H.

AU - Edelson, Richard L.

AU - Flynn, Stuart D

PY - 1994

Y1 - 1994

N2 - We describe a patient with progressive cutaneous T-cell lymphoma (CTCL) and development of subacute cardiac failure. Symptomatic lymphomatous involvement of the heart may be more common in patients with CTCL than in other lymphomas because the former is more likely to be associated with circulating tumor cells and hematogenous spread to the myocardium. No single symptom or sign is highly predictive of cardiac involvement, but unexplained tachyarrhythmias, conduction disturbances, low voltage on ECG, and unexplained cardiac enlargement should arouse clinical suspicion. Although echocardiography may be helpful in suggesting cardiac involvement, endomyocardial biopsy should be considered in patients with a reasonable chance of responding to chemotherapy or radiation.

AB - We describe a patient with progressive cutaneous T-cell lymphoma (CTCL) and development of subacute cardiac failure. Symptomatic lymphomatous involvement of the heart may be more common in patients with CTCL than in other lymphomas because the former is more likely to be associated with circulating tumor cells and hematogenous spread to the myocardium. No single symptom or sign is highly predictive of cardiac involvement, but unexplained tachyarrhythmias, conduction disturbances, low voltage on ECG, and unexplained cardiac enlargement should arouse clinical suspicion. Although echocardiography may be helpful in suggesting cardiac involvement, endomyocardial biopsy should be considered in patients with a reasonable chance of responding to chemotherapy or radiation.

UR - http://www.scopus.com/inward/record.url?scp=0028010041&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028010041&partnerID=8YFLogxK

M3 - Article

VL - 87

SP - 89

EP - 94

JO - Southern Medical Journal

JF - Southern Medical Journal

SN - 0038-4348

IS - 1

ER -