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An unusual myocardial infarction

Echo Research & Practice volume 1, pages K9–K10 (2014)Cite this article

Abstract

We present a 74-year-old male with a chondrosarcoma, who presented with chest pain. The history, electrocardiogram (ECG), and biomarkers established the diagnosis of myocardial infarction (MI); angiography did not show coronary atherosclerosis and, both initial transthoracic echocardiogram and chest computed tomography (CT), did not demonstrate any cardiac abnormalities. A second echocardiogram following a routine ECG showed presence of a mass involving the right ventricle and the cardiac apex that was confirmed by chest CT scan. We underline the importance of considering cardiac tumors in the clinical arena of MI management.

Learning points

  • Cardiac tumors cause ECG changes similar to ischemic heart diseases.

  • Keep in mind cardiac tumors when performing transthoracic echocardiogram (TTE) in the setting of suspected MI.

  • TTE is the technique of choice in detecting cardiac tumors.

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Authors and Affiliations

  1. Department of Heart and Great Vessels ‘A. Reale’, La Sapienza University, Rome, Italy

    Sara Di Michele MD & Francesca Mirabelli MD

  2. Division of Cardiology, San Gennaro Hospital, Naples, Italy

    Domenico Galzerano MD

  3. Mayo Clinic, Department of Cardiovascular Disease, Rochester, Minnesota, USA

    Sunil Mankad MD

Authors
  1. Sara Di Michele MD
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  2. Francesca Mirabelli MD
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  3. Domenico Galzerano MD
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  4. Sunil Mankad MD
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Corresponding author

Correspondence to Domenico Galzerano MD.

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Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://doi.org/creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Di Michele, S., Mirabelli, F., Galzerano, D. et al. An unusual myocardial infarction. Echo Res Pract 1, K9–K10 (2014). https://doi.org/10.1530/ERP-14-0017

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  • DOI: https://doi.org/10.1530/ERP-14-0017

Echo Research & Practice

ISSN: 2055-0464

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