Squamous cell lung cancer simulating an acute myocardial infarction

Iyad N. Daher, Join Y. Luh, Alexander G. Duarte

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Lung cancer involvement of the heart is silent, carries a poor prognosis, and is most commonly identified at autopsy. A patient with lung cancer presented with symptoms and ECG findings suggestive of an acute coronary syndrome. Persistent symptoms and normal creatine phosphokinase (CPK) levels led to use of MRI and radionuclide scintigraphy to diagnose neoplastic infiltration of the myocardium. Palliative care was established with significant symptom relief. Assessment for cardiac metastases should be considered in patients with advanced lung cancer presenting with chest pain, new ECG findings, and normal CPK levels.

Original languageEnglish (US)
Pages (from-to)304-306
Number of pages3
JournalChest
Volume123
Issue number1
DOIs
StatePublished - 2003

Keywords

  • Cardiac enzymes
  • Cardiac metastases
  • Lung cancer
  • MRI
  • Myocardial infarction
  • NeoTect radioscintigraphy
  • Radionuclide imaging

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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