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KMID : 0882420090770020232
Korean Journal of Medicine
2009 Volume.77 No. 2 p.232 ~ p.235
Electrocardiographic changes suggesting ischemic heart disease in a case of lung cancer with myocardial metastasis
Jeon Se-Young

Kim Min-Soo
Ahn Se-Han
Kook Eun-Hee
Yoon Jung-Ho
Han Min-Sung
Lee Jae-Cheol
Abstract
Metastatic tumors to the myocardium proper are uncommon and difficult to diagnose because they have nonspecific signs and symptoms. Electrocardiogram (ECG) changes mimicking ischemic heart disease often develop when non-conducting tumor tissue replaces cardiac muscle. Hence, a high level of suspicion is required to differentiate ECG changes caused by myocardial metastasis from those caused by coronary heart disease in cancer patients. We describe a case of primary lung cancer with myocardial metastasis that showed diffuse ST segment elevation and T wave inversion on the ECG, with a relevant literature review.
KEYWORD
Lung cancer, Cardiac metastasis, Electrocardiographic change
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