J Lung Cancer.  2007 Dec;6(2):92-92. 10.6058/jlc.2007.6.2.92.

Lung Cancer with Acute Myocardial Infarction

• Oh IJ
• Kim KS
• Kim YC

• KMID: 1820252
• DOI: http://doi.org/10.6058/jlc.2007.6.2.92

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

Keyword

Lung cancer; Chest pain; Myocardial infarction

MeSH Terms

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
Analgesics, Opioid
Peptidyl-Dipeptidase A

Figure

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