Author + information
- Received February 24, 1986
- Revision received July 15, 1986
- Accepted August 13, 1986
- Published online February 1, 1987.
- Chiara Lestuzzi, MD1,*,
- Salvatore Biasi, MD†,
- Gian Luigi Nicolosi, MD, FACC*,
- Daniela Lodeville, MD‡,
- Daniela Pavan, MD*,
- Raffaele Collazzo, MD§,
- Antonio Guindani, MD† and
- Domenico Zanuttini, MD*
- ↵1Address for reprints: Chiara Lestuzzi, MD, Servizio di Emodinamica, Ospedale Civile, via Montereale 24, 33170 Pordenone, Italy.
In seven patients with different types of neoplasm, secondary myocardial infiltration was diagnosed in vivo by two-dimensional echocardiography and confirmed by direct inspection. In all patients, clinical and electrocardiographic findings were suggestive but nonspecific for myocardial involvement. Two patients had cardiac tamponade and three had pericardial effusion. In three patients, the echocardiographic diagnosis made it possible to plan specific therapy.
Clinical, electrocardiographic and echocardiographic aspects are discussed. A two-dimensional echocardiographic examination should be performed in all patients when cardiac metastatic involvement is suspected from clinical electrocardiographic findings, because the in vivo diagnosis of such a condition may have important therapeutic implications for such patients.
- Received February 24, 1986.
- Revision received July 15, 1986.
- Accepted August 13, 1986.
- American College of Cardiology Foundation