An Intramyocardial Mass Mimicking ST-Segment Elevation Myocardial Infarct at Presentation

J Am Coll Cardiol. 2024 Jul 9;84(2):229-231. doi: 10.1016/j.jacc.2024.05.012.

Abstract

ST-segment elevation on the electrocardiogram typically indicates acute myocardial infarction but can mimic ST-segment elevation myocardial infarction in various conditions. We present a case of a patient with an intramyocardial mass and anterior ST-segment elevation without significant myocardial biomarker elevation. Multimodality imaging was crucial in revealing cardiac metastasis as the attributable cause.

Keywords: ST-segment elevation; cardiac mass; cardiac metastasis; uterine cervical neoplasms; uterine cervix.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Electrocardiography*
  • Heart Neoplasms* / diagnosis
  • Heart Neoplasms* / diagnostic imaging
  • Heart Neoplasms* / secondary
  • Humans
  • Male
  • Middle Aged
  • ST Elevation Myocardial Infarction* / diagnosis