Case Report (n=1)
ST elevation and chest pain can be caused by tumor infiltration and pericardial inflammation rather than acute coronary occlusion, highlighting the importance of thorough clinical evaluation.
A 59-year-old male patient affected by pleural mesothelioma presented with chest pain and localized ST elevation in the electrocardiogram. Urgent coronary angiography excluded an acute coronary occlusion, whereas high-resolution computed tomography of the chest revealed tumor infiltration and associated acute inflammation of the pericardial sac. This case illustrates how initial clinical evaluation during emergency conditions could be misled by the time-effectiveness imperative in the primary percutaneous coronary intervention era. In conclusion, early valorization of clinical signs and noninvasive diagnostic elements may add accuracy in directing the postadmission patient course.
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Pyxaras et al. (2010) conducted a case report in Pleural mesothelioma presenting with chest pain and ST elevation (n=1). Urgent coronary angiography and high-resolution computed tomography was evaluated on Diagnosis of tumor infiltration and acute inflammation of the pericardial sac.
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