Noninfiltrating Adenocarcinoma of the Lung Causing ST-Segment Elevation
- 1 August 2015
- journal article
- case report
- Published by Texas Heart Institute Journal in Texas Heart Institute Journal
- Vol. 42 (4), 381-384
- https://doi.org/10.14503/thij-14-4268
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.Keywords
This publication has 18 references indexed in Scilit:
- 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: Executive SummaryCirculation, 2013
- ST-segment changes after direct current external cardioversion for atrial fibrillation. Incidence, characteristics and predictive factorsInternational Journal of Cardiology, 2009
- The hyperkalemic Brugada signJournal of Electrocardiology, 2007
- Misdiagnosis Cardiac Metastasis Presented as a Pseudo-Infarction on ElectrocardiographyInternational Heart Journal, 2007
- Lung neoplasm mimicking an acute lateral myocardial infarctionJournal of the American Society of Echocardiography, 2003
- ST-Segment Elevation in Conditions Other Than Acute Myocardial InfarctionNew England Journal of Medicine, 2003
- A case of double cancers with myocardial metastasis mimicking acute myocardial infarction both on an electrocardiogram and on Tc-99m-MIBI myocardial SPECTAnnals of Nuclear Medicine, 2001
- Trends and Disparities in Coronary Heart Disease, Stroke, and Other Cardiovascular Diseases in the United StatesCirculation, 2000
- External compression by metastatic squamous cell carcinoma: A rare cause of left main coronary artery narrowingClinical Cardiology, 1990
- Electrocardiographic findings in 67,375 asymptomatic subjects: X. Normal values∗The American Journal of Cardiology, 1960