[Metastasis stimulating a myocardial infarction]

F Tremel1, O Orliaguet, J E Lanney

  • 1Service de cardiologie et de chirurgie cardiaque, clinique Belledonne, 83, avenue Gabriel-Peri, 38400 Saint-Martin-d'Hères.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|March 5, 2003
PubMed

Insights

A patient

Area of Science:

  • Cardiology
  • Oncology
  • Medical Imaging

Background:

  • Bronchial carcinoma presents a diagnostic challenge.
  • Cardiac symptoms can mimic myocardial infarction.

Observation:

  • A patient with bronchial carcinoma experienced chest pain and ECG changes indicative of acute lateral wall infarction.
  • Coronary angiography revealed normal coronary arteries.

Findings:

  • Echocardiography identified an intracardiac mass.
  • Magnetic Resonance Imaging (MRI) confirmed the mass as a direct extension of the pulmonary tumor.

Implications:

  • Echocardiography is crucial for diagnosing intracardiac masses in cancer patients.
  • Systematic echocardiography is recommended for patients with ischemic chest pain and advanced cancer.

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