PMID- 30793064 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231005 IS - 2452-2473 (Print) IS - 2452-2473 (Electronic) IS - 2452-2473 (Linking) VI - 19 IP - 1 DP - 2019 Jan TI - Electrocardiographic changes in right ventricular metastatic cardiac tumor mimicking acute ST elevation myocardial infarction: A case of misdiagnosis. PG - 33-35 LID - 10.1016/j.tjem.2018.07.001 [doi] AB - INTRODUCTION: In patients with ST elevation myocardial infarction (STEMI), minimizing the reperfusion time is the goal of therapy worldwide. However, the differential diagnosis is critical and when a patient is encountered with chest pain and ST elevation, STEMI should not be the only diagnosis considered. By detailed history and focused physical examination, it is possible to avoid a mistaken diagnosis. CASE PRESENTATION: In this report, we present a case of a male patient with tongue cancer and accompanying myocardial metastasis that causes electrocardiographic changes, who was initially misdiagnosed with ST elevation myocardial infarction. CONCLUSION: Here, we reported a case of metastatic cancer in the heart which was initially diagnosed as acute myocardial infarction. Echocardiography, computed tomography and magnetic resonance imaging of the heart were used accordingly to confirm the myocardial metastasis. FAU - Demir, Vahit AU - Demir V AD - Department of Cardiology, Medical Faculty of Bozok University, Adnan Menderes Bulvari No:44, 66020, Yozgat, Turkey. FAU - Turan, Yasar AU - Turan Y AD - Department of Cardiology, Medical Faculty of Bozok University, Adnan Menderes Bulvari No:44, 66020, Yozgat, Turkey. FAU - Ede, Huseyin AU - Ede H AD - Department of Cardiology, Medical Faculty of Bozok University, Adnan Menderes Bulvari No:44, 66020, Yozgat, Turkey. FAU - Hidayet, Siho AU - Hidayet S AD - Department of Cardiology, Medical Faculty of Bozok University, Adnan Menderes Bulvari No:44, 66020, Yozgat, Turkey. FAU - Erkoc, Mustafa F AU - Erkoc MF AD - Department of Radiology, Medical Faculty of Bozok University, Adnan Menderes Bulvari No:44, 66020, Yozgat, Turkey. LA - eng PT - Case Reports DEP - 20180717 PL - India TA - Turk J Emerg Med JT - Turkish journal of emergency medicine JID - 101681782 PMC - PMC6370910 EDAT- 2019/02/23 06:00 MHDA- 2019/02/23 06:01 PMCR- 2018/07/17 CRDT- 2019/02/23 06:00 PHST- 2018/06/12 00:00 [received] PHST- 2018/07/10 00:00 [revised] PHST- 2018/07/11 00:00 [accepted] PHST- 2019/02/23 06:00 [entrez] PHST- 2019/02/23 06:00 [pubmed] PHST- 2019/02/23 06:01 [medline] PHST- 2018/07/17 00:00 [pmc-release] AID - S2452-2473(18)30181-X [pii] AID - 10.1016/j.tjem.2018.07.001 [doi] PST - epublish SO - Turk J Emerg Med. 2018 Jul 17;19(1):33-35. doi: 10.1016/j.tjem.2018.07.001. eCollection 2019 Jan.