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[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

Summary

A patient

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Awake flow limitation with negative expiratory pressure in sleep disordered breathing.

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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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