Multiple myeloma with pericardial involvement and cardiac tamponade: a report of three patients
H Rosenbaum1, R Hoffman, A Carter
1Department of Hematology, Rambam Medical Center, Haifa, Israel.
Abstract:
Pericardial involvement and cardiac tamponade are rare complications of multiple myeloma (MM) and in most reported cases it has been diagnosed only at autopsy. Three cases of multiple myeloma with pericardial involvement seen at a single institution are described. The approach to the treatment is discussed and the literature on this rare complication of MM is briefly reviewed.
Insights
Pericardial involvement, a rare complication of multiple myeloma (MM), can lead to cardiac tamponade. Early diagnosis and treatment are crucial for managing this serious condition in MM patients.
Area of Science:
- Hematology
- Cardiology
- Oncology
Background:
- Multiple myeloma (MM) is a hematologic malignancy.
- Pericardial involvement and cardiac tamponade are infrequent but severe complications of MM.
- Diagnosis is often delayed, frequently occurring post-mortem.
Observation:
- This report details three cases of multiple myeloma with pericardial involvement.
- The cases were observed at a single institution.
- Clinical presentation and diagnostic challenges are highlighted.
Findings:
- Pericardial effusion and cardiac tamponade can occur in multiple myeloma.
- The study reviews the diagnostic and therapeutic strategies for this rare complication.
- Literature on MM-associated pericardial disease is briefly summarized.
Implications:
- Emphasizes the importance of considering pericardial complications in MM patients.
- Suggests a need for heightened awareness and timely intervention.
- Informs clinical practice regarding the management of cardiac issues in multiple myeloma.
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