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Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
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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
Summary
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.
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