A Pseudo-Infarction Pattern in the Setting of Esophageal Malignancy

Naji Maaliki; Jorge Verdecia; Ryan Nelson; Win Aung

doi:10.7759/cureus.12193

A Pseudo-Infarction Pattern in the Setting of Esophageal Malignancy

Cureus. 2020 Dec 20;12(12):e12193. doi: 10.7759/cureus.12193.

Authors

Naji Maaliki¹, Jorge Verdecia¹, Ryan Nelson¹, Win Aung¹

Affiliation

¹ Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Abstract

A 57-year-old African American male was admitted for workup of unintentional weight loss. He was found to have an esophageal squamous cell carcinoma. Electrocardiogram (ECG) readings demonstrated deep Q waves in leads V1-V2 with T wave flattening, which raised concern for a septal infarct. Myocardial infarction (MI) was subsequently ruled out through clinical, imaging, and laboratory analysis. The ECG findings were deemed as a pseudo-infarct pattern in the setting of squamous cell carcinoma of the esophagus.

Keywords: electrocardiogram (ecg/ekg); esophageal malignancy; left anterior descending artery; pseudo-infarct pattern; qrs axis; septal myocardial.

Publication types

Case Reports