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An unusual myocardial infarction

Sara Di Michele1, Francesca Mirabelli1, Domenico Galzerano2

  • 1Department of Heart and Great Vessels 'A. Reale', La Sapienza University , Rome , Italy.

Echo Research and Practice
|December 23, 2015
PubMed

Insights

A chondrosarcoma mimicked myocardial infarction (MI) in a 74-year-old male. Echocardiography revealed a cardiac tumor, highlighting the need to consider tumors in MI diagnosis.

Area of Science:

  • Cardiology
  • Oncology
  • Diagnostic Imaging

Background:

  • Myocardial infarction (MI) is a common cause of chest pain.
  • Cardiac tumors are rare but can present with diverse symptoms.

Observation:

  • A 74-year-old male presented with chest pain, initially diagnosed as MI based on ECG and biomarkers.
  • Initial investigations including angiography, echocardiogram, and CT scan did not reveal cardiac abnormalities.
  • A subsequent echocardiogram identified a mass in the right ventricle and cardiac apex.

Findings:

  • The cardiac mass was confirmed as chondrosarcoma via chest CT scan.
  • The tumor presented with electrocardiogram (ECG) changes mimicking ischemic heart disease.
  • Transthoracic echocardiography (TTE) proved crucial in detecting the cardiac tumor.

Implications:

  • Cardiac tumors should be considered in the differential diagnosis of MI, especially when coronary angiography is negative.
  • TTE is the primary imaging modality for diagnosing cardiac tumors.
  • This case underscores the importance of comprehensive diagnostic evaluation for chest pain.
Abstract

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