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2014 ; 1
(2
): K9-K12
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An unusual myocardial infarction
#MMPMID26693309
Di Michele S
; Mirabelli F
; Galzerano D
; Mankad S
Echo Res Pract
2014[Dec]; 1
(2
): K9-K12
PMID26693309
show ga
We present a 74-year-old male with a chondrosarcoma, who presented with chest
pain. The history, electrocardiogram (ECG), and biomarkers established the
diagnosis of myocardial infarction (MI); angiography did not show coronary
atherosclerosis and, both initial transthoracic echocardiogram and chest computed
tomography (CT), did not demonstrate any cardiac abnormalities. A second
echocardiogram following a routine ECG showed presence of a mass involving the
right ventricle and the cardiac apex that was confirmed by chest CT scan. We
underline the importance of considering cardiac tumors in the clinical arena of
MI management. LEARNING POINTS: Cardiac tumors cause ECG changes similar to
ischemic heart diseases.Keep in mind cardiac tumors when performing transthoracic
echocardiogram (TTE) in the setting of suspected MI.TTE is the technique of
choice in detecting cardiac tumors.