title: [Progressive dyspnea, angina pectoris and weight loss in a 76-year old patient].
abstract: BACKGROUND
  Cardiac metastases are a rare finding. The primary diagnosis of a malignant disease by cardial metastases is a curiosity.
  
  
  METHODS
  A 76-year-old patient presented with dyspnea, angina pectoris and body weight loss. Echocardiography showed a circular pericardial effusion and intramyocardial masses with high echodensity in the right atrial and the right ventricular wall. MIR was not diagnostic of the intramyocardial masses. The pericardiocentesis was negative. The procedures revealed an intestinal type gastric adenocarcinoma.
  
  
  CONCLUSIONS
  Echocardiography is an established method for the diagnosis of cardiac metastases.
authors.affiliation: Medizinische Klinik II-Kardiologie, Kreiskrankenhaus Mechernich.
authors.forename: A
authors.initials: A
authors.lastname: Niedeggen
authors.forename: P
authors.initials: P
authors.lastname: Wirtz
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary*; D000368:Aged; D000787:Angina Pectoris / Q000209:etiology*; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D004452:Echocardiography; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013274:Stomach Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D015431:Weight Loss