Abstract
UNUSUAL PRESENTATION OF ACUTE MYOCARDIAL INFARCTION IN PATIENT OF METASTATIC CARCINOMA OF TONGUE

Prashant Kumar Pandey, Ajay Kumar Pandey, Shubham Kashayap, Akhil Kapoor and Devendra Pratap Yadav*

ABSTRACT

Introduction: Cardiac involvement in various malignancies is not uncommon. Thromboembolic cardiovascular events because of inflammatory and thrombotic milieu of cancer is increasingly common followed by complication due to secondary metastatic and primary cardiac tumors. However, invasion of endocardium and myocardium impersonating ST elevation myocardial infarction is rare. Presentation of case: Here, we present a unique case of metastatic squamous cell carcinoma tongue in a 74-year male impersonating myocardial infarction. Conclusion: We should always evaluate for cardiac metastasis in a cancer patient who presents as acute or subacute coronary syndrome with abnormal newly developed ECG.

Keywords: Metastasis, Squamous cell carcinoma, Cardiac tumor, STEMI, Head and Neck tumor.


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