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.
ECG Changes in Cardiac Tumors
Tumor ECG changes
Myxoma Findings of left atrial enlargement, rarely arrhythmias, conduction abnormalities.
Papillary Fibroelastoma Nonspecific, patients may have atrial arrhythmias
Rhabdomyoma Irregularities of the heart's rhythm, notably as heart block or ventricular tachycardia
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.[1]
AV nodal tumor It should also be explored in situations involving sudden death and congenital heart block.[2]
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.



References

  1. 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.
  2. 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.

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