Abstract

PILA PEREZ, Rafael et al. Secondary tumoral affection of the heart. AMC [online]. 1998, vol.2, n.2. ISSN 1025-0255.

Clinical radiogtaphical and electrocardiological data that could have shown suspicion of the clinical diagnosis of secundary cardiac affection of 130 patients who were diagnosed in postmortem study of the malignan tumoral disease with cardiac metastasis, were reviewed. The matastatic affection of higher frequency occurred in leukemias (21,74 %) followed by carcinomas (15,97%); acute leukemias affected the heart with greater repercussion with 57 cases. Cardiac metastases were located with higher frequency in the pericardium of 69 followed by the myocardium with 36. Dyspnoea was the most common symptom, followed by the retrosternal pain and palpitations. In 28,4 %, cardiomegalias was found in radiographies performed while electrocardiography sowed anomalies in electrocardiographical signs in most of the patients, shows that any change in this final exam could be a cardiac affection in the course of it. Concluiding the echocardiogram and sotopic scintigram are other important techniques useful for diagnosing these complications and their cardiac localization.

Keywords : NEOPLASM METASTASIS; HEART NEOPLASMS [diagnosis]; HEART NEOPLASMS [radiography]; ELECTROCARDIOGRAPHY.

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