KMID : 0882420090770020232
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Korean Journal of Medicine 2009 Volume.77 No. 2 p.232 ~ p.235
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Electrocardiographic changes suggesting ischemic heart disease in a case of lung cancer with myocardial metastasis
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Jeon Se-Young
Kim Min-Soo Ahn Se-Han Kook Eun-Hee Yoon Jung-Ho Han Min-Sung Lee Jae-Cheol
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Abstract
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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.
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KEYWORD
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Lung cancer, Cardiac metastasis, Electrocardiographic change
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