Key result
Multimodality imaging successfully diagnoses cardiac metastasis in an 81-year-old man with heart failure and persistent ST-elevation.
Why the study?
Cardiac metastasis is an uncommon condition with variable presentation that may be missed, requiring improved diagnostic approaches.
Case Report (n=1)
Persistent ST-segment elevation in cancer patients with cardiac symptoms should raise suspicion for cardiac metastasis, which can be effectively evaluated using multimodality imaging.
Cardiac metastasis should be considered in cancer patients with new heart failure and persistent ST elevation; extends sparse case reports on multimodality imaging diagnosis.
Cardiac metastasis is an uncommon condition that may be missed owing to variability in patient presentation. An 81-year-old man with a history of metastatic squamous cell carcinoma, presenting with heart failure, showed persistent ST-segment elevation on an electrocardiogram. Chest computed tomography, performed to exclude pulmonary embolism, demonstrated possible cardiac mass that was evaluated subsequently with echocardiography and cardiac magnetic resonance. This case shows the importance of multimodality imaging in diagnosing cardiac metastasis in cancer patients with cardiac symptoms. Although the mechanisms are unclear, persistent ST-segment elevations should be considered as a potential clue to the presence of cardiac metastasis.
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Chunta et al. (2025) conducted a case report in Cardiac metastasis (n=1). Multimodality imaging was evaluated on Diagnosis of cardiac metastasis. Multimodality imaging successfully diagnosed a cardiac mass as metastasis in an 81-year-old man presenting with heart failure and persistent ST-segment elevation.
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