STEMI or not STEMI? A multimodality imaging approach to a challenging intracardiac mass with a tricky presentation.

IF 1.6 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Future cardiology Pub Date : 2024-04-25 Epub Date: 2024-06-20 DOI:10.1080/14796678.2024.2360845
Laura Piscitelli, Antonio Gianluca Robles, Roberto Costantino, Valentina Forte, Silvio Romano, Luigi Sciarra, Francesco Bartolomucci, Domenico Riccardo Rosario Chieppa
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Abstract

Cardiac tumors, due to the various clinical scenarios and their histological subtypes, are still challenging for clinicians. They are differentiated into primary and secondary. The latest are more common and are usually lung and breast cancers, melanomas, and lymphoma metastasis. We present a case of a 73-year-old woman, with a history of breast cancer 10 years earlier, admitted to Cath lab for an elevation of the ST-segment of the electrocardiogram, myocardial infarction. Echocardiogram showed a curious abnormality in the myocardial wall. Thanks to a multimodality imaging strategy, including contrast-enhanced echocardiography and cardiac magnetic resonance, characterization of the underlying pathology was clear and, thus, the appropriate management and therapy.

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STEMI 或非 STEMI?以多模态成像方法处理表现棘手的心内肿块。
心脏肿瘤的临床表现和组织学亚型多种多样,对临床医生来说仍是一项挑战。它们可分为原发性和继发性。原发性肿瘤更常见,通常是肺癌、乳腺癌、黑色素瘤和淋巴瘤转移瘤。我们介绍了一例 73 岁的女性病例,她 10 年前曾患乳腺癌,因心电图 ST 段升高和心肌梗死被送入心电图室。超声心动图显示心肌壁出现异常。由于采用了多模态成像策略,包括对比增强超声心动图和心脏磁共振,明确了潜在的病理特征,从而进行了适当的处理和治疗。
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来源期刊
Future cardiology
Future cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.80
自引率
5.90%
发文量
87
期刊介绍: Research advances have contributed to improved outcomes across all specialties, but the rate of advancement in cardiology has been exceptional. Concurrently, the population of patients with cardiac conditions continues to grow and greater public awareness has increased patients" expectations of new drugs and devices. Future Cardiology (ISSN 1479-6678) reflects this new era of cardiology and highlights the new molecular approach to advancing cardiovascular therapy. Coverage will also reflect the major technological advances in bioengineering in cardiology in terms of advanced and robust devices, miniaturization, imaging, system modeling and information management issues.
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