BRUGADA-LIKE ECG PATTERN AND TUMORS INVOLVING RIGHT VENTRICULAR OUTFLOW TRACT - CASE SERIES AND LITERATURE REVIEW

Mechanical heart compression, including that from mediastinal tumor, may cause Brugada-like ECG pattern. Such ECG pattern might also be observed in intracardiac tumor obstructing the right ventricular out"ow tract (RVOT). Eight cases with Brugada-like ECG and tumors involving RVOT have been described so far; 4 growing in the mediastinum (with one example of in"ammatory mass), 3 with intracardiac location, and 1 being an organized pericardial hematoma. The authors present other 3 cases of intracardiac metastatic tumors in RVOT and Brugada-like ECG pattern with coved ST-segment elevation in the right precordial leads. All patients had negative history of cardiovascular disease or familiar malignant arrhythmia occurrence. ECG were done routinely; none of the patients had chest pain or an increased level of cardiac troponins. In all patients, neoplastic disease was at advanced stage. A 76-year-old male, had a history of four neoplasms: bladder cancer was being treated with chemotherapy, while prostate, tongue, and lung cancers had been resected years ago and no signs of local relapse were found. A 78-year-old female, was diagnosed with colon cancer 1 month after an episode of venous thromboembolism. Six months after the resection of cancer, second focus of adenocarcinoma was found in the rectum. Third patient, a 65-year-old-male had undergone nephrectomy for renal cancer a year before cardiac metastasis diagnosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:76

Enthalten in:

Wiadomosci lekarskie (Warsaw, Poland : 1960) - 76(2023), 2 vom: 03., Seite 452-457

Sprache:

Englisch

Beteiligte Personen:

Elikowski, Waldemar [VerfasserIn]
Fertała, Natalia [VerfasserIn]
Zawodna-Marszałek, Magdalena [VerfasserIn]
Kwiecien-Zaparty, Agnieszka [VerfasserIn]
Łazowski, Stanisław [VerfasserIn]
Skrzywanek, Paweł [VerfasserIn]
Zytkiewicz, Marcin [VerfasserIn]

Links:

Volltext

Themen:

Brugada-like ECG
Case Reports
Intracardiac tumor
Journal Article
Mediastinal tumor
Review
Right ventricular outflow tract

Anmerkungen:

Date Completed 04.04.2023

Date Revised 04.04.2023

published: Print

Citation Status MEDLINE

doi:

10.36740/WLek202302130

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355150131