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Clinical case reveals challenges of diagnosing myocardial injury in patients with metastatic heart disease, highlighting the value of echocardiography.
Metastatic heart disease is quite rare and is usually diagnosed only at autopsy. Most often, a myocardial tumor is a secondary lesion, and the primary disease is a malignant neoplasm of the lung, mammary gland, esophagus, leukemia and melanoma. Intravital diagnostics are difficult due to the severity and comorbidity of such patients. Myocardial tumor is disguised as various cardiovascular diseases: acute myocardial infarction, heart failure, cardiac rhythm and conduction disorders, pericarditis. Timely diagnostics could improve the prognosis, quality and life expectancy of such patients. One of the most accessible methods for diagnosing cardiac tumor lesions is echocardiography; computed tomography, magnetic resonance imaging and positron emission tomography are used less frequently. This article presents a clinical case of intravital diagnostics of metastatic myocardial damage.
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Volodskaya et al. (2025) studied this question.
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