Myocardial invasion of squamous cell lung carcinoma presenting as STEMI
Myocardial invasion by a neoplasm is a rare occurrence that can present identical signs and symptoms of acute coronary artery disease. We report a case of a 53-year-old man diagnosed with squamous cell lung carcinoma who presented with chest pain and ST-segment elevation on an electrocardiogram. He...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Heart Views |
| Subjects: | |
| Online Access: | http://www.heartviews.org/article.asp?issn=1995-705X;year=2022;volume=23;issue=3;spage=177;epage=180;aulast=Anjum |
| _version_ | 1811220856975654912 |
|---|---|
| author | Ibrar Anjum Farwa Eajaz Moeed Gaffar Julie Ling |
| author_facet | Ibrar Anjum Farwa Eajaz Moeed Gaffar Julie Ling |
| author_sort | Ibrar Anjum |
| collection | DOAJ |
| description | Myocardial invasion by a neoplasm is a rare occurrence that can present identical signs and symptoms of acute coronary artery disease. We report a case of a 53-year-old man diagnosed with squamous cell lung carcinoma who presented with chest pain and ST-segment elevation on an electrocardiogram. He underwent emergent coronary angiography, which ruled out coronary artery obstruction. An echocardiogram followed by magnetic resonance imaging of the heart confirmed metastatic lung mass in the left ventricular wall. The direct compression of a metastatic tumor on a myocardial wall could lead to ST-segment elevation mimicking acute coronary syndrome. Clinicians should consider metastatic myocardial tumor as a possible cause of ST-segment elevation in patients with nonobstructive coronary arteries and lung carcinoma to prevent misdiagnosis and resultant delayed treatment. |
| first_indexed | 2024-04-12T07:50:00Z |
| format | Article |
| id | doaj.art-6960e5f3ae8e468fbd0689fd27ca0cc3 |
| institution | Directory Open Access Journal |
| issn | 1995-705X |
| language | English |
| last_indexed | 2024-04-12T07:50:00Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Heart Views |
| spelling | doaj.art-6960e5f3ae8e468fbd0689fd27ca0cc32022-12-22T03:41:37ZengWolters Kluwer Medknow PublicationsHeart Views1995-705X2022-01-0123317718010.4103/heartviews.heartviews_21_22Myocardial invasion of squamous cell lung carcinoma presenting as STEMIIbrar AnjumFarwa EajazMoeed GaffarJulie LingMyocardial invasion by a neoplasm is a rare occurrence that can present identical signs and symptoms of acute coronary artery disease. We report a case of a 53-year-old man diagnosed with squamous cell lung carcinoma who presented with chest pain and ST-segment elevation on an electrocardiogram. He underwent emergent coronary angiography, which ruled out coronary artery obstruction. An echocardiogram followed by magnetic resonance imaging of the heart confirmed metastatic lung mass in the left ventricular wall. The direct compression of a metastatic tumor on a myocardial wall could lead to ST-segment elevation mimicking acute coronary syndrome. Clinicians should consider metastatic myocardial tumor as a possible cause of ST-segment elevation in patients with nonobstructive coronary arteries and lung carcinoma to prevent misdiagnosis and resultant delayed treatment.http://www.heartviews.org/article.asp?issn=1995-705X;year=2022;volume=23;issue=3;spage=177;epage=180;aulast=Anjummetastasis lung cancersecondary cardiac tumorsst-segment elevation |
| spellingShingle | Ibrar Anjum Farwa Eajaz Moeed Gaffar Julie Ling Myocardial invasion of squamous cell lung carcinoma presenting as STEMI Heart Views metastasis lung cancer secondary cardiac tumors st-segment elevation |
| title | Myocardial invasion of squamous cell lung carcinoma presenting as STEMI |
| title_full | Myocardial invasion of squamous cell lung carcinoma presenting as STEMI |
| title_fullStr | Myocardial invasion of squamous cell lung carcinoma presenting as STEMI |
| title_full_unstemmed | Myocardial invasion of squamous cell lung carcinoma presenting as STEMI |
| title_short | Myocardial invasion of squamous cell lung carcinoma presenting as STEMI |
| title_sort | myocardial invasion of squamous cell lung carcinoma presenting as stemi |
| topic | metastasis lung cancer secondary cardiac tumors st-segment elevation |
| url | http://www.heartviews.org/article.asp?issn=1995-705X;year=2022;volume=23;issue=3;spage=177;epage=180;aulast=Anjum |
| work_keys_str_mv | AT ibraranjum myocardialinvasionofsquamouscelllungcarcinomapresentingasstemi AT farwaeajaz myocardialinvasionofsquamouscelllungcarcinomapresentingasstemi AT moeedgaffar myocardialinvasionofsquamouscelllungcarcinomapresentingasstemi AT julieling myocardialinvasionofsquamouscelllungcarcinomapresentingasstemi |