title: Acute myocardial infarction: a rare presentation of pancreatic carcinoma.
abstract: Secondary neoplastic involvement of the heart is common but usually asymptomatic. Malignancy rarely presents as acute pericarditis, cardiac tamponade, and myocardial infarction in the same patient. We report a patient with unsuspected metastatic pancreatic adenocarcinoma who presented with acute pericarditis and cardiac tamponade and subsequently developed a myocardial infarction due to coronary artery occlusion secondary to a metastatic deposit around the left anterior descending artery.
authors: Department of Radiology, St. Luke's-Roosevelt Hospital Center and Columbia University College of Physicians & Surgeons, New York, New York, USA.
authors: M A
authors: MA
authors: Cook
authors: E J
authors: EJ
authors: Sanchez
authors: J J
authors: JJ
authors: Lopez
authors: D A
authors: DA
authors: Bloomfield
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary*; D000368:Aged; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D010190:Pancreatic Neoplasms / Q000473:pathology*; D010490:Pericardial Effusion / Q000150:complications / Q000175:diagnosis; D010493:Pericarditis / Q000150:complications / Q000175:diagnosis