title: Misdiagnosis: cardiac metastasis presented as a pseudo-infarction on electrocardiography.
abstract: Most tumor invasion into the heart is nonspecific and clinically silent. Myocardium metastasis rarely mimics a myocardial infarction. In this case, a cardiac metastasis from a squamous cell carcinoma presented with both persistent ST elevation and paroxysmal supraventricular tachycardia. The secondary lesion was located in the anterior wall and lateral wall of the left ventricle and induced electrocardiographic changes imitating an acute myocardial infarction.
authors.affiliation: Division of Cardiology, Chiayi Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan.
authors.forename: Kuo Li
authors.initials: KL
authors.lastname: Pan
authors.forename: Lung Sheng
authors.initials: LS
authors.lastname: Wu
authors.forename: Chang Min
authors.initials: CM
authors.lastname: Chung
authors.forename: Shih Tai
authors.initials: ST
authors.lastname: Chang
authors.forename: Pi Chi
authors.initials: PC
authors.lastname: Lin
authors.forename: Jen Te
authors.initials: JT
authors.lastname: Hsu
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000556:secondary*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis*; D009362:Neoplasm Metastasis; D014057:Tomography, X-Ray Computed