title: Atrial flutter and myocardial infarction-like ECG changes as manifestations of left ventricle involvement from lung carcinoma.
abstract: 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.
authors.affiliation: Department of Medical Oncology, Hospital Arnau de Vilanova, Valencia, Spain. juan_osc@gva.es
authors.forename: Oscar
authors.initials: O
authors.lastname: Juan
authors.forename: Esther
authors.initials: E
authors.lastname: Esteban
authors.forename: José
authors.initials: J
authors.lastname: Sotillo
authors.forename: Vicente
authors.initials: V
authors.lastname: Alberola
mesh_terms: 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
chemical_list: D000959:Antihypertensive Agents; D007004:Hypoglycemic Agents; D043823:Taxoids; D000077143:Docetaxel; D004656:Enalapril; D016190:Carboplatin; D005905:Glyburide