Figure 1.

Summary of Managing Patients With Lymphoma

Summary of approach to managing patients with lymphoma at risk for bradycardia and cardiac conduction disease. Timing of permanent pacemaker implantation (asterisk) requires consideration of timing of chemotherapy and its impact on tumor burden and on blood cell counts. (Top) Representative cine cardiac magnetic resonance (CMR) imaging and (Bottom) late gadolinium enhancement (LGE) CMR images of Case 1 and Case 2 patients are also shown to the upper right. Cine-CMR was acquired at different phases of the cardiac cycle. LGE CMR was acquired using long inversion recovery pulse sequence for which inversion times (TI) were tailored to null thrombus (TI 600), whereas contrast enhancement was observed in tissue with vascularity. Neoplastic invasion of the interatrial septum (yellow circles) was present in both patients.