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[Progressive dyspnea, angina pectoris and weight loss in a 76-year old patient]

A Niedeggen1, P Wirtz

  • 1Medizinische Klinik II-Kardiologie, Kreiskrankenhaus Mechernich.

Medizinische Klinik (Munich, Germany : 1983)
|August 16, 2000
PubMed

Insights

Cardiac metastases are rare, but echocardiography can diagnose them. This case highlights echocardiography

Area of Science:

  • Cardiology
  • Oncology
  • Diagnostic Imaging

Background:

  • Cardiac metastases are an infrequent clinical finding.
  • Primary diagnosis of malignancy via cardiac metastases is exceptionally rare.

Observation:

  • A 76-year-old patient presented with dyspnea, angina pectoris, and weight loss.
  • Echocardiography revealed pericardial effusion and intramyocardial masses in the right atrium and ventricle.
  • Magnetic Resonance Imaging (MIR) was inconclusive for intramyocardial masses; pericardiocentesis was negative.

Findings:

  • The patient was diagnosed with intestinal-type gastric adenocarcinoma.
  • Echocardiography successfully identified cardiac involvement secondary to gastric cancer.

Implications:

  • Echocardiography is a valuable tool for diagnosing cardiac metastases.
  • This case underscores the importance of considering cardiac involvement in patients with unexplained symptoms and known or suspected malignancy.
Abstract

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