PMID- 36682767
OWN - NLM
STAT- MEDLINE
DCOM- 20230404
LR  - 20230404
IS  - 1349-3299 (Electronic)
IS  - 1349-2365 (Linking)
VI  - 64
IP  - 1
DP  - 2023 Mar 31
TI  - ST Segment Elevation in a Young Woman with Metaplastic Breast Carcinoma.
PG  - 114-119
LID - 10.1536/ihj.22-345 [doi]
AB  - The 12-lead electrocardiogram (ECG) remains a key tool to diagnose ST elevation 
      myocardial infarction (STEMI). However, a variety of other conditions aside from 
      obstructive coronary disease, including hyperkalemia, myocarditis, pericarditis, 
      and Takotsubo and Brugada syndrome, may also cause ST segment elevation, with an 
      incidence rate of 3%-15% and mean age of 45 +/- 14 years. A combination of a 
      detailed past medical history, thorough physical examination, and additional 
      imaging tests may allow physicians to make the correct diagnosis.In this report, 
      we present a case of a 39-year-old woman with metaplastic breast cancer in the 
      process of combined oncological treatment admitted to the emergency department 
      because of general body weakness, chest pain, and accompanying hypotonia with an 
      initial diagnosis of acute coronary syndrome.The ECG at presentation showed ST 
      segment elevation, but owing to the observed neoplastic cachexia and frailty, she 
      was medically managed and the diagnostics were extended to include transthoracic 
      echocardiogram and computed tomography scan. The patient was found to have an 
      external mass that infiltrated into the thoracic wall, pericardium, right 
      ventricle, interventricular septum, and coronary arteries.In cancer patients with 
      chest pain and ST segment elevation, STEMI should not be the only diagnosis taken 
      into account. In our report, using a combination of available cardiac imaging 
      methods, we were able to evaluate the stage of the lesion and coronary 
      involvement.
FAU - Wieczorkiewicz, Paulina
AU  - Wieczorkiewicz P
AD  - Department of Interventional Cardiology, Medical University of Lodz.
FAU - Szymczyk, Konrad
AU  - Szymczyk K
AD  - Department of Interventional Cardiology, Medical University of Lodz.
FAU - Zielinska, Marzenna
AU  - Zielinska M
AD  - Department of Interventional Cardiology, Medical University of Lodz.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20230123
PL  - Japan
TA  - Int Heart J
JT  - International heart journal
JID - 101244240
SB  - IM
MH  - Female
MH  - Humans
MH  - Adult
MH  - Middle Aged
MH  - *Myocardial Infarction/diagnosis
MH  - *ST Elevation Myocardial Infarction/diagnosis/etiology
MH  - Electrocardiography/methods
MH  - Arrhythmias, Cardiac
MH  - *Coronary Artery Disease
MH  - Chest Pain/diagnosis/etiology
MH  - *Breast Neoplasms/complications/diagnosis
OTO - NOTNLM
OT  - Coronary artery disease
OT  - Echocardiogram
OT  - Young adults
EDAT- 2023/01/23 06:00
MHDA- 2023/04/04 06:42
CRDT- 2023/01/22 20:42
PHST- 2023/04/04 06:42 [medline]
PHST- 2023/01/23 06:00 [pubmed]
PHST- 2023/01/22 20:42 [entrez]
AID - 10.1536/ihj.22-345 [doi]
PST - ppublish
SO  - Int Heart J. 2023 Mar 31;64(1):114-119. doi: 10.1536/ihj.22-345. Epub 2023 Jan 
      23.