IHJ Cardiovascular Reports
A Great Mimicker: Esophageal Carcinoma Masquerading as Acute Anterolateral Myocardial Infarction
By Amay Dattatraya Raut and Nihar Mehta.
Abstract
Background ST-elevation (STE) traditionally mandates emergent reperfusion, but "Pseudo-STEMI" patterns can mimic acute myocardial infarction (AMI) without coronary artery disease (CAD). Case Presentation A asymptomatic 59-year-old male with esophageal squamous cell carcinoma presented for pre-chemotherapy evaluation. ECG revealed persistent, profound anterolateral STE. Cardiac biomarkers, LVEF, and wall motion were normal. CT-coronary angiography ruled out CAD but identified a large esophageal mass compressing the left atrium. Conclusion Mechanical compression, viscerocardiac reflexes, or localized epicardial irritation caused this rare oncological mimicker. Recognizing benign STE patterns prevents hazardous, unnecessary invasive interventions and antithrombotic therapies in vulnerable cancer patients
Keywords
- Esophageal Cancer Research and Treatment
- esophageal cancer
- differential diagnosis
- chest pain
- Open access
Source
Published in IHJ Cardiovascular Reports. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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