Author:
Shah Shenil,Padaliya Bimal,Mohan Sri Krishna Madan
Abstract
ST-segment-elevation myocardial infarction is a leading cause of cardiovascular morbidity and death. We describe the case of a 51-year-old woman with advanced adenocarcinoma of the lung who presented with ST-segment elevation in the presence of an extracardiac lung mass but no objective evidence of myocardial ischemia or pericardial involvement. After the patient died of hypoxic respiratory failure, autopsy findings confirmed normal-appearing pericardium and myocardium, and mild-to-moderate atherosclerosis in the coronary arteries. A 4.5 × 4-cm extracardiac left hilar lung mass was confirmed to be poorly differentiated adenocarcinoma of the lung adjacent to the myocardium. The persistent current of injury that had been detected electrocardiographically was thought to occur from direct myocardial compression. ST-segment elevations secondary to direct mass contact on the myocardium should be considered in patients who have a malignancy and ST-segment elevation.
Publisher
Texas Heart Institute Journal
Subject
Cardiology and Cardiovascular Medicine
Reference16 articles.
1. Trends and disparities in coronary heart disease, stroke, and other cardiovascular diseases in the United States: findings of the national conference on cardiovascular disease prevention;Cooper;Circulation,2000
2. Third universal definition of myocardial infarction;Thygesen;J Am Coll Cardiol,2012
3. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines [published erratum appears in Circulation 2013;128(25):e481];O'Gara;Circulation,2013
4. ST-segment elevation in conditions other than acute myocardial infarction;Wang;N Engl J Med,2003
5. Persistent ST-segment elevation in a patient with metastatic involvement of the heart;Astorri;Minerva Cardioangiol,2001
Cited by
4 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献