酷似急性ST段抬高型心肌梗死的右心室转移性心脏肿瘤的心电图改变：一例误诊病例
Electrocardiographic changes in right ventricular metastatic cardiac tumor mimicking acute ST elevation myocardial infarction: A case of misdiagnosis.
作者信息
Demir Vahit, Turan Yasar, Ede Hüseyin, Hidayet Siho, Erkoç Mustafa F
机构信息
Department of Cardiology, Medical Faculty of Bozok University, Adnan Menderes Bulvarı No:44, 66020, Yozgat, Turkey.
Department of Radiology, Medical Faculty of Bozok University, Adnan Menderes Bulvarı No:44, 66020, Yozgat, Turkey.
出版信息
Turk J Emerg Med. 2018 Jul 17;19(1):33-35. doi: 10.1016/j.tjem.2018.07.001. eCollection 2019 Jan.
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.
引言
在ST段抬高型心肌梗死（STEMI）患者中，将再灌注时间降至最短是全球治疗的目标。然而，鉴别诊断至关重要，当遇到胸痛和ST段抬高的患者时，STEMI不应是唯一考虑的诊断。通过详细的病史询问和重点体格检查，有可能避免误诊。
病例报告
在本报告中，我们呈现了一例男性舌癌患者，伴有心肌转移导致心电图改变，最初被误诊为ST段抬高型心肌梗死。
结论
在此，我们报告了一例最初被诊断为急性心肌梗死的心脏转移性癌病例。相应地使用了心脏超声心动图、计算机断层扫描和磁共振成像来确诊心肌转移。
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