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Updated: Sep 20, 2026

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

Persistent ST segment elevation in a patient with metastatic involvement of the heart

E Astorri1, P Fiorina, P Pattoneri

  • 1Cattedra di Cardiologia, Istituto di Patologia Medica, Università degli Studi, Parma, Italy.

Minerva Cardioangiologica
|March 30, 2001
PubMed

Insights

Electrocardiogram (ECG) changes can indicate heart tumors, but are often non-specific. Prolonged ST elevation without Q waves may specifically signal cardiac tumor invasion.

Area of Science:

  • Cardiology
  • Oncology

Background:

  • Electrocardiographic abnormalities are frequent in cardiac tumor invasion but lack specificity.
  • Differentiating tumor-related ECG changes from other cardiac conditions is clinically important.

Observation:

  • A patient with epidermoid carcinoma of the left lung presented with pronounced and prolonged lateral ST segment elevation.
  • This ECG finding occurred in the absence of myocardial infarction.
  • Computer tomography confirmed tumor invasion of the heart.

Findings:

  • Prolonged ST segment elevation, particularly in the lateral leads and without Q waves, was observed.
  • This specific ECG pattern was associated with confirmed cardiac tumor invasion.

Implications:

  • This distinct electrocardiographic pattern may serve as a pathognomonic sign for cardiac tumor invasion.
  • Early identification of cardiac invasion via ECG can potentially improve patient management and outcomes.

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