The apex talks: cardiac metastasis mimicking ST-segment elevation myocardial infarction

Our case describes a cardiac metastasis with EKG mimicking acute coronary syndrome. This finding is not uncommon among these patients. EKG findings of myocardial ischaemia or injury, particularly localized and prolonged ST elevation, in the absence of ischaemic symptoms have been reported in previous studies as high specificity for cardiac metastasis in patients with malignancy.We want to highlight the importance of using all cardiac imaging techniques in the differential diagnosis of cardiac masses; cardiac magnetic resonance certainly represents the gold standard, but a simple echocardiography with ultrasonic enhancing agent is definitely helpful.