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- W4313127306 abstract "We present a case of a 46-year-old female who presented with acute onset of worsening chest pain for 8 hours. Electrocardiogram (ECG) showed ST elevation in leads II, III and avF with diffuse T wave inversions. On admission, troponin-I was 0.124 ng/mL. Based on the symptoms, ECG changes and elevated troponin, there was a concern for inferior wall ST elevation myocardial infarction (STEMI). The patient was emergently taken for cardiac catheterization. Angiography showed mild non-obstructive coronary artery disease. Transthoracic echocardiogram (TTE) revealed thickened and hypokinetic inferoseptal, inferior and inferolateral walls. It also showed round echodensity in the left ventricular (LV) cavity arising from the thickened infero-lateral wall measuring 1.8x1.5 cm2 suspicious for metastatic intramyocardial tumor. For further evaluation, she underwent cardiac magnetic resonance imaging (MRI). It revealed 3.9 x 2.3 x 3.4 cm mass with imaging findings suggestive of malignant tumor attached to and infiltrating LV inferior myocardium, epicardial fat and pericardium. Based on the angiographic findings, echo and cardiac MRI, her symptoms were attributed to intramyocardial mass causing infiltration or displacement of myocardium. Her chest pain was controlled with tramadol. Our report demonstrates a rare case of cardiac metastasis secondary to tongue cancer presenting as STEMI." @default.
- W4313127306 created "2023-01-06" @default.
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- W4313127306 date "2022-08-29" @default.
- W4313127306 modified "2023-10-04" @default.
- W4313127306 title "Cardiac metastasis secondary to tongue cancer: An unusual mimicker of ST elevation myocardial infarction" @default.
- W4313127306 doi "https://doi.org/10.55920/2771-019x/1228" @default.
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