title: Electrocardiographic manifestations of cardiac metastasis in lung cancer.
abstract: We describe a case of primary lung cancer with myocardial metastasis, documented with electrocardiogram (ECG) mimicking myocardial ischemia and manifesting VT. Metastatic tumor to the myocardium proper is uncommon and difficult to diagnose because of nonspecific signs and symptoms. We observed such ECG changes in this case were initially misinterpreted as acute coronary syndrome. The diagnosis of cardiac metastasis was confirmed by contrast-enhanced magnetic resonance imaging and computed tomography.
authors.affiliation: Division of Cardiology, Korea University Cardiovascular Center, Seoul, Republic of Korea.
authors.forename: Hong Euy
authors.initials: HE
authors.lastname: Lim
authors.forename: Hui-Nam
authors.initials: HN
authors.lastname: Pak
authors.forename: Hye Cheol
authors.initials: HC
authors.lastname: Jung
authors.forename: Jin Seok
authors.initials: JS
authors.lastname: Kim
authors.forename: Wan Joo
authors.initials: WJ
authors.lastname: Shim
authors.forename: Young-Hoon
authors.initials: YH
authors.lastname: Kim
mesh_terms: D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D005189:False Positive Reactions; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000209:etiology; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000209:etiology