Korean J Med > Volume 77(2); 2009 > Article
The Korean Journal of Medicine 2009;77(2):232-235.
Electrocardiographic changes suggesting ischemic heart disease in a case of lung cancer with myocardial metastasis
Se Yong Jeon, Min Soo Kim, Se Han Ahn, Eun Hee Kook, Jung Ho Yoon, Min Sung Han, Jae Cheol Lee
심전도상 허혈성 심질환 소견을 보인 폐암의 심장 전이 1예
전세용, 김민수, 안세한, 국은희, 윤정호, 한민성, 이재철
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. (Korean J Med 77:232-235, 2009)
Key Words: Lung cancer; Cardiac metastasis; Electrocardiographic change


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