Why the study?
What is the incidence and electrocardiographic presentation of cardiac metastasis in patients dying from tumors?
What is the incidence and electrocardiographic presentation of cardiac metastasis in patients dying from tumors?
Cardiac metastasis is found in approximately 19% of tumor deaths, most commonly from bronchogenic carcinoma, melanoma, lymphoma, and pancreatic/esophageal carcinomas, and is frequently associated with ECG changes.
Answers are grounded in this paper and cite their sources.
May prompt ECG review in advanced cancer; leaves open whether modern imaging alters detection or outcomes.
This article is a survey of 476 consecutive cases of tumor death for heart involvement. The somewhat selected group of cases (from a Veterans Administration hospital) shows an incidence of cardiac metastasis of 19.1 per cent. The bulk of tumors metastasizing to the heart were bronchogenic carcinoma, malignant melanoma, malignant lymphoma, and carcinoma of the pancreas and esophagus. Electrocardiographic changes were frequent and correlated fairly closely with the anatomic extent of the disease. The related literature is reviewed.
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Young et al. (1954) studied this question.
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