Lung carcinoma paraneoplastic reactive regional pericarditis mimicking ST elevation myocardial infarct

Bijay, Yadav; Miriyala, Varun; Pant, Sadip; Chander, Ravi; Javed, Nosheen; Turcotte, Keith D.; Rizk, Sophia; Mucciardi, Nick; Randy, Kaplan; Cao, Shanjin

doi:10.1080/20009666.2021.1973218

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Atrial arrhythmias are another common finding. [ 8 ] Patients presenting with findings of STEMI with no obstruction of any major vessel seen during the coronary angiography should be further evaluated for secondary tumors, as early diagnosis can lead to prompt treatment and reduce the further spread of the tumor.…”

Section: Discussionmentioning

confidence: 99%

Myocardial invasion of squamous cell lung carcinoma presenting as STEMI

Anjum

Eajaz²,

Gaffar³

et al. 2022

Heart Views

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Myocardial invasion by a neoplasm is a rare occurrence that can present identical signs and symptoms of acute coronary artery disease. We report a case of a 53-year-old man diagnosed with squamous cell lung carcinoma who presented with chest pain and ST-segment elevation on an electrocardiogram. He underwent emergent coronary angiography, which ruled out coronary artery obstruction. An echocardiogram followed by magnetic resonance imaging of the heart confirmed metastatic lung mass in the left ventricular wall. The direct compression of a metastatic tumor on a myocardial wall could lead to ST-segment elevation mimicking acute coronary syndrome. Clinicians should consider metastatic myocardial tumor as a possible cause of ST-segment elevation in patients with nonobstructive coronary arteries and lung carcinoma to prevent misdiagnosis and resultant delayed treatment.

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Section: Discussionmentioning

confidence: 99%

Myocardial invasion of squamous cell lung carcinoma presenting as STEMI

Anjum

Eajaz²,

Gaffar³

et al. 2022

Heart Views

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“…ECG finding shows ST-segment elevation at leads II and aVF; there was neither reciprocal ST depression nor Q wave evolution in this patient at lead I or augmented vector left (aVL). So, this clinical condition known as regional pericarditis can mimic STEMI [ 25 ].…”

Section: Reviewmentioning

confidence: 99%

ST-Segment Elevation in Conditions of Non-cardiovascular Origin Mimicking an Acute Myocardial Infarction: A Narrative Review

Khurana¹,

Ranjan²

2022

Cureus

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The most widespread presenting ailments among patients visiting the emergency department are chest pain and shortness of breath. These symptoms lead any doctor to a probable diagnosis of myocardial infarction (MI). Detailed patient history, testing of blood samples for cardiac biomarkers that are indicative of cardiovascular necrosis, ultrasound methods, electrocardiography, and coronary computed tomography (CT) could all be beneficial to support the diagnosis. Out of these, electrocardiography is the most important and commonly done investigation in the emergency departments for patients presenting with chest pain and shortness of breath. However, interpreting these patients' electrocardiograms (ECGs) may be a matter of concern and worry. T wave and ST-segment changes are often of interest in the early signs of myocardial ischemia. Despite its incredible sensitivity, ST-segment deviation (elevated or depressed) has a low specificity because it can be seen in a variety of other cardiac and non-cardiac diseases. When ST-segment anomalies are identified, clinicians must consider many additional characteristics (such as risk factors, symptoms, and anamnesis), as well as all other possible diagnoses.All of these scenarios of patients presenting in the emergency department with chest discomfort and shortness of breath showing ST-segment abnormalities can leave a healthcare professional wondering whether to start treatment for acute myocardial infarction, through either the administration of a fibrinolytic agent, exposing patients to both the benefits and risks of fibrinolysis, or invasive coronary angiography. An astute physician may be able to recognize fabricated differential diagnosis mimicking STsegment elevation myocardial infarction (STEMI) in some situations. Failure to recognize these imposters can result in inefficient resource utilization, which can expose patients to unjustified risk and increased rather than decreased death and morbidity. Since the danger of cerebral hemorrhage from blood thinners is significant, in patient-care scenarios, in order to rule out percutaneous coronary intervention (PCI), a thorough assessment of the ECG is essential to consider diseases other than acute myocardial infarction, especially the ones that are non-cardiac in origin. The goal of this narrative review is to give an overview of the significant disorders that are non-cardiac in origin that can mimic an ST-segment elevation myocardial infarction (STEMI).

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Lung carcinoma paraneoplastic reactive regional pericarditis mimicking ST elevation myocardial infarct

Cited by 2 publications

References 10 publications

Myocardial invasion of squamous cell lung carcinoma presenting as STEMI

Myocardial invasion of squamous cell lung carcinoma presenting as STEMI

ST-Segment Elevation in Conditions of Non-cardiovascular Origin Mimicking an Acute Myocardial Infarction: A Narrative Review

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