Arrhythmias and Cardiogenic Shock: A Rare Disease Presentation of Diffuse Large B-Cell Lymphoma with Cardiac Involvement

Extranodal involvement of non-Hodgkin lymphoma (NHL) has been reported in 20–40% patients and typically observed the skin, bones, gastrointestinal tract, liver brain. Cardiac up to 20% autopsy cases with NHL accounts for about 2% all cardiac malignancies. Here, we report a peculiar case secondary diffuse large B-cell (DLBCL), occurring an abrupt hemodynamic instability, characterized by sudden ventricular tachycardia cardiogenic shock. The patient promptly started first cycle chemotherapy was admitted intensive care unit (CICU) our institution prevent potential cardiovascular complications during treatment. We applied fractionated treatment approach, progressively reaching standard doses, decrease risk early death ensure successful management.