Lung Cancer with Acute Myocardial Infarction.
- Author:
In Jae OH
1
;
Kyu Sik KIM
;
Young Chul KIM
Author Information
- Publication Type:Case Report
- Keywords: Lung cancer; Chest pain; Myocardial infarction
- MeSH: Analgesics, Opioid; Back Pain; Chest Pain; Constriction, Pathologic; Coronary Angiography; Coronary Vessels; Electrocardiography; Humans; Lung Neoplasms*; Lung*; Middle Aged; Myocardial Infarction*; Myocardium; Peptidyl-Dipeptidase A; Pneumonectomy; Thorax; Tomography, X-Ray Computed
- From:Journal of Lung Cancer 2007;6(2):92-92
- CountryRepublic of Korea
- Language:English
- Abstract: A 63-year-old man with recurred squamous cell lung carcinoma was admitted to our facility due to an acute onset of chest and upper back pain. He had undergone a left pneumonectomy in July of 2004, and had been receiving EGFR-TKI (Tarceva(R)) as a 3rd line treatment since he had relapsed. His electrocardiographic findings (Panel A) showed acute lateral wall myocardial infarction, and his cardiac enzymes were slightly elevated. 2D-echocardiography and chest CT (Panel B) disclosed the presence of metastatic cancer invading the myocardium along the left circumflex coronary artery, however, there was no critical stenosis observed during a coronary angiography (Panel C). His pain was relieved gradually by medical treatment that included an angiotensin converting enzyme inhibitor, betablocker and opioids. After this treatment, a 4th line treatment was initiated
