Cardiac tumors electrocardiogram
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Electrocardiogram
Template:ECG changes in cardiac tumors
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3];Associate Editor(s)-in-Chief: Template:Dj
Overview
Electrocardiogram changes
- There are no ECG abnormalities that are specific to cardiac tumors.
- Nevertheless, based on the area of involvement and propensity to metastasize, cardiac tumors exhibit ECG alterations that can aid in their detection.
| Tumor | ECG changes |
|---|---|
| Myxoma | Findings of left atrial enlargement, rarely arrhythmias, conduction abnormalities.[1] |
| Papillary Fibroelastoma | Nonspecific, patients may have atrial arrhythmias.[2] |
| Rhabdomyoma | Irregularities of the heart's rhythm, notably as heart block or ventricular tachycardia. The presence of arrhythmias is the most frequent manifestation of rhabdomyoma of the adult variety.[3] |
| Cardiac Fibroma | The ECG may reveal several abnormalities, such as left ventricular hypertrophy, right ventricular hypertrophy, bundle branch block, atrioventricular block, and ventricular tachycardia. |
| Cardiac Lipoma | Arrhythmias, including atrial fibrillation, ventricular tachycardia, and atrioventricular block, may result from interference with electrical conduction in the heart.[4] |
| AV nodal tumor | It should also be explored in situations involving sudden death and congenital heart block.[5] |
| Cardiac Sarcomas:
Angiosarcoma, Cardiac rhabdomyosarcomas, Fibrosarcoma and malignant fibrous histiocytoma, Leiomyosarcomas, Osteosarcomas of the heart |
Tumors that invade the myocardium may occasionally manifest with persistent Q waves or even ST alterations on the electrocardiogram (ECG) without coronary artery disease.[1]
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References
- ↑ 1.0 1.1 Lamba G, Frishman WH (2012). "Cardiac and pericardial tumors". Cardiol Rev. 20 (5): 237–52. doi:10.1097/CRD.0b013e31825603e7. PMID 22447042.
- ↑ Gowda RM, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ (2003). "Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases". Am Heart J. 146 (3): 404–10. doi:10.1016/S0002-8703(03)00249-7. PMID 12947356.
- ↑ Bosi G, Lintermans JP, Pellegrino PA, Svaluto-Moreolo G, Vliers A (1996). "The natural history of cardiac rhabdomyoma with and without tuberous sclerosis". Acta Paediatr. 85 (8): 928–31. doi:10.1111/j.1651-2227.1996.tb14188.x. PMID 8863873.
- ↑ Araoz PA, Mulvagh SL, Tazelaar HD, Julsrud PR, Breen JF (2000). "CT and MR imaging of benign primary cardiac neoplasms with echocardiographic correlation". Radiographics. 20 (5): 1303–19. doi:10.1148/radiographics.20.5.g00se121303. PMID 10992020.
- ↑ Cina SJ, Smialek JE, Burke AP, Virmani R, Hutchins GM (1996). "Primary cardiac tumors causing sudden death: a review of the literature". Am J Forensic Med Pathol. 17 (4): 271–81. doi:10.1097/00000433-199612000-00001. PMID 8947350.