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KMID : 0982820070060020092
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Journal of Lung Cancer
2007 Volume.6 No. 2 p.92 ~ p.92
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Lung Cancer with Acute Myocardial Infarction
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Oh In-Jae
Kim Kyu-Sik
Kim Young-Chul
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Abstract
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A 63-year-old man with recurred squamous cell lung carcinoma was admitted to our facility due to an acute onset of chest and upper back pain. He had undergone a left pneumonectomy in July of 2004, and had been receiving EGFR-TKI (Tarcevaⓡ) as a 3rd line treatment since he had relapsed. His electrocardiographic findings (Panel A) showed acute lateral wall myocardial infarction, and his cardiac enzymes were slightly elevated. 2D-echocardiography and chest CT (Panel B) disclosed the presence of metastatic cancer invading the myocardium along the left circumflex coronary artery, however, there was no critical stenosis observed during a coronary angiography (Panel C). His pain was relieved gradually by medical treatment that included an angiotensin converting enzyme inhibitor, β-blocker and opioids. After this treatment, a 4th line treatment was initiated.
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KEYWORD
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Lung cancer, Chest pain, Myocardial infarction
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