ST-segment elevation in a patient with cardiac lymphoma

Excerpt

A 78-year-old man presented with a 1-month history of exertional dyspnoea, anorexia, weight loss and night sweats. On physical examination the patient had a cachectic appearance and multiple 2‑ to 4‑cm-diameter skin lesions (Fig. 1a). Electrocardiography (Fig. 1b) showed ST-segment elevation in leads V₁ and V₂ and ST-segment depression from V₃ to V₆ with no dynamic changes in serial electrocardiograms. Transthoracic echocardiography revealed large heterogeneous masses adhered to the myocardium with no clear cleavage plane, an intermediate echogenicity and involving the right ventricle, the atrioventricular groove and the large vessels (Fig. 1c; Electronic Supplementary Material, videos 1–3). He was admitted and a skin biopsy was performed which was compatible with diffuse large B‑cell lymphoma.

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