多发性骨髓瘤的心脏损害  

Cardiac Involvement in Multiple Myeloma

作　　者：喻研[1] 王琳[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院消化内科,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院心内科,湖北武汉430030

出　　处：《心血管病学进展》2012年第2期247-249,共3页Advances in Cardiovascular Diseases

摘　　要：多发性骨髓瘤常累及心脏,主要表现为充血性心力衰竭、心绞痛、急性心肌梗死、心律失常和心包积液。心电图、超声心动图、放射性核素扫描、核磁共振显像能帮助诊断。诊断的金标准是心肌活检。多发性骨髓瘤合并心脏受累者的预后很差,但一些新的治疗方法为患者带来了曙光。Multiple myeloma commonly has cardiac involvement which presents as congestive heart failure,angina pectoris,acute myocardial infarction,arrhythmia and pericardial effusion.The use of the electrocardiogram,echocardiogram,radionuclide scan,or magnetic resonance image can help to diagnose the disease.The gold standard for diagnosis is a myocardial biopsy.The prognosis for patients with cardiac impairment is very poor,but some novel treatments are giving hope.

关 键 词：多发性骨髓瘤 心脏淀粉样变性 

分 类 号：R733.3[医药卫生—肿瘤]