Myocardial metastases. A pathological and electrocardiographic study.

Berge, Thorbjörn; Sievers, Jan

doi:10.1136/hrt.30.3.383

Cited by 63 publications

(20 citation statements)

References 9 publications

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“…Contrary to our findings, most previous studies have reported lung cancer as the most common cause of cardiac metastasis, followed by hematologic malignancy [1,7,8,10]. However, a few reports have placed other origins at the top of their list, such as renal cancer, sarcomas and malignant melanomas, with breast cancer as a primary source of metastasis in only 7% of the patients [6].…”

Section: Discussioncontrasting

confidence: 54%

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Clinicopathologic Review of Non-Myxoma Cardiac Tumors: A 10-Year Single-Center Experience

Anvari

Naderan²,

Babaki³

et al. 2014

Cardiology

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Objective: To report the prevalence, clinical presentation and histological characteristics of non-myxoma cardiac tumors in a major tertiary heart center. Method: Review of the medical profiles of 36,930 patients admitted to our hospital between 2003 and 2013 yielded a total of 86 cases of cardiac tumors (63 cases of myxomas and 23 cases of non-myxoma tumors). Clinical presentations and histological features were presented exclusively for primary and secondary tumors. Results: Of 23 enrolled patients with non-myxoma tumors, 5 had primary tumors and 18 had secondary or metastatic tumors. The most frequent origins of the secondary tumors were breast cancer, lymphoma, leukemia and lung cancer. Most secondary tumors had pericardial involvement, and only one tumor involved the left atrium. Sarcomas, including spindle-cell sarcoma and liposarcoma, comprised the majority of the primary malignant tumors. None of these tumors had pericardial involvement, and, except for one case, all were confined to the left side of the heart. All patients were symptomatic on admission, with dyspnea being the most frequent presenting symptom. Conclusion: Metastatic cardiac tumors were more prevalent than the primary ones, with fibromas constituting the largest proportion of the primary tumors and breast cancer being the prevalent cause of metastasis.

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Section: Discussioncontrasting

confidence: 54%

“…A few studies have investigated cardiac metastases and their association with the underlying neoplasms invading the cardiovascular system [5,6,7,8]. The aim of this study was to determine the prevalence of specific cardiac tumors in an Iranian population and demonstrate their demographic and clinical attributes.…”

Section: Introductionmentioning

confidence: 99%

Clinicopathologic Review of Non-Myxoma Cardiac Tumors: A 10-Year Single-Center Experience

Anvari

Naderan²,

Babaki³

et al. 2014

Cardiology

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“…The majority of cardiac metastases from lung cancer occur in the pericardium by direct extension and/or retrograde lymphatic dissemination from involved mediastinal lymph nodes, whereas hematogenic metastasis in the myocardiumis commonlyregarded as a rare condition. The incidence of myocardial metastasis from lung cancer is 5.3-10.6% (4,5). Electrocardiographic (ECG) abnormalities associated with myocardial metastasis have been reported (2)(3)(4).…”

mentioning

confidence: 99%

“…The incidence of myocardial metastasis from lung cancer is 5.3-10.6% (4,5). Electrocardiographic (ECG) abnormalities associated with myocardial metastasis have been reported (2)(3)(4). An abnormal Q wave (QS pattern) among these ECGfindings is a rare abnormality.…”

mentioning

confidence: 99%

Myocardial Metastasis from Primary Lung Cancer: Myocardial Infarction-like ECG Changes and Pathologic Findings.

et al. 1991

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Myocardial metastasis from neoplastic disease is often clinically unapparent, and very difficult to diagnose. Of 151 consecutive autopsies of lung cancer patients, cardiac metastases were found in 67 patients (44.4%). Myocardial metastasis was found in only 8 patients (ll.9%). ECGof patients with myocardial metastasis revealed ST-Twavechanges and various types of arrhythmia. ST-Twavechanges were observed in 4 with myocardial metastasis, and in 6 without myocardial metastasis (pericardial metastasis alone). ST-T wave changes is not a specific finding of myocardial metastasis. Twovery rare cases with myocardial metastasis showing progressive ST segment elevation with a QSpattern are presented. The appearance of ST segment elevation with a QS pattern in clinically stable lung cancer patients without cardiac symptoms suggestive of myocardial injury indicates the possibility of myocardial metastasis. Myocardial metastasis is often elusive, thus careful observation of ECGchanges is of primary importance for the antemortem diagnosis.

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“…Thus, most of them are found at autopsy [1,2,8]. The signs and symptoms are not specific and consist in chest pain, dyspnoea, tachycardia, arrhythmias, and electrocardiographic changes [3,4,5]. Supraventricular arrhythmias, in our case specifically atrial fibrillation, are the rhythm disturbances usually found in heart metastasis.…”

Section: Discussionmentioning

confidence: 82%

Electrocardiographic manifestations of heart metastasis from a primary lung cancer

Vallot

Berghmans

Delhaye

et al. 2001

Supportive Care in Cancer

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Though acute myocardial infarction is one of the most frequent causes of ST segment elevation, there are other, less frequent, reasons for such electrocardiographic changes. In the present case, a cardiac metastasis from a squamous cell lung carcinoma was responsible for these changes. The secondary lesion was located in the apex of the left ventricle and induced an ECG alteration mimicking myocardial ischaemia. The literature includes few reports that describe the relation between electrocardiographic changes and heart metastases, since heart metastases are not usually discovered except at autopsy.

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Myocardial metastases. A pathological and electrocardiographic study.

Cited by 63 publications

References 9 publications

Clinicopathologic Review of Non-Myxoma Cardiac Tumors: A 10-Year Single-Center Experience

Clinicopathologic Review of Non-Myxoma Cardiac Tumors: A 10-Year Single-Center Experience

Myocardial Metastasis from Primary Lung Cancer: Myocardial Infarction-like ECG Changes and Pathologic Findings.

Electrocardiographic manifestations of heart metastasis from a primary lung cancer

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