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Rest thallium-201 myocardial perfusion imaging in a patient with leukaemic infiltration of the heart
Authors:A Cahid Civelek  Jeffrey A Brinker  Edwaldo E Camargo  Jonathan M Links  Henry N Wagner Jr
Institution:(1) Divisions of Nuclear Medicine and Radiation Health Sciences, The Johns Hopkins Medical Institutions, 615 North Wolfe Street, 21205-2179 Baltimore, MD, USA;(2) Cardiovascular Division, Department of Medicine, The Johns Hopkins Medical Institutions, 615 North Wolfe Street, 21205-2179 Baltimore, MD, USA
Abstract:Despite the high incidence of leukaemic infiltration of the heart, only 8 cases of atrioventricular block due to leukaemia have been reported in the literature. Improvement in the heart block associated with disappearance of the leukaemic infiltrate has not been reported. A rest thallium-201 study was used in a 65-year-old man to demonstrate leukaemic infiltration of the heart which was associated with complete heart block. After chemotherapy, when the tumour burden was reduced and the leukaemia in remission, his heart block resolved, and a follow-up thallium scan was normal. Offprint requests to: A.C. Civelek
Keywords:Leukaemia  Reversible complete heart block  Thallium-201 myocardial perfusion scintigraphy
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