Atrial flutter and myocardial infarction-like ECG changes as manifestations of left ventricle involvement from lung carcinoma.
Lung cancer involvement of the heart is not unusual, but in most cases is silent. Arrhythmia and electrocardiographic findings suggesting an acute myocardial infarction could be the first manifestation of myocardial infiltration by the tumour. Echocardiography could be a valuable tool to define the diagnosis in patients with lung cancer and newly diagnosed arrhythmia or ST-T wave alterations. When echocardiographics findings are not conclusive, magnetic resonance imaging (MRI) allows differentiation between tumour and myocardium.
Juan
Oscar
O
Department of Medical Oncology, Hospital Arnau de Vilanova, Valencia, Spain. juan_osc@gva.es
Esteban
Esther
E
Sotillo
José
J
Alberola
Vicente
V
D000959:Antihypertensive Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001282:Atrial Flutter / Q000209:etiology*; D016190:Carboplatin / Q000008:administration & dosage; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000628:therapy; D003131:Combined Modality Therapy; D003920:Diabetes Mellitus / Q000188:drug therapy / Q000473:pathology; D000077143:Docetaxel; D004452:Echocardiography; D004562:Electrocardiography; D004656:Enalapril / Q000627:therapeutic use; D017809:Fatal Outcome; D005905:Glyburide / Q000627:therapeutic use; D006338:Heart Neoplasms / Q000503:physiopathology / Q000556:secondary*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000473:pathology; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008175:Lung Neoplasms / Q000473:pathology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D011878:Radiotherapy; D043823:Taxoids / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
D000959:Antihypertensive Agents; D007004:Hypoglycemic Agents; D043823:Taxoids; D000077143:Docetaxel; D004656:Enalapril; D016190:Carboplatin; D005905:Glyburide