ATYPICAL STERNAL PAIN IN A BREAST CANCER PATIENT MIMICKING ACUTE MYOCARDIAL INFARCTION

Authors

  • René Aloisio da Costa Vieira Hospital de Câncer de Barretos
  • Alessandra Coelho Santos Hospital de Câncer de Barretos
  • Idam de Oliveira-Junior Hospital de Câncer de Barretos
  • Kátia Mathias Teixeira da Silva Hospital de Câncer de Barretos
  • Sérgio Luiz Brasileiro Lopes Hospital de Câncer de Barretos
  • Carlos Eduardo Paiva Hospital de Câncer de Barretos

Keywords:

Breast neoplasms, recurrence, myocardial infarction, differential diagnosis, non-st elevated myocardial infarction

Abstract

Radiation therapy on the left side of the chest, some chemotherapy drugs, and trastuzumab raise the risk of cardiac events. Acute chest pain associated with breast cancer is not common, but it is possible. Electrocardiogram, which can result normal in up to 80% of cases of infarction, and serial dosing of myocardial necrosis markers are fundamental for differential diagnosis. Total creatine kinase (CK), creatine kinase-MB fraction (CK-MB), and troponins are frequently used. We present the case of a patient with atypical chest pain associated with elevation of CK and CK-MB, whose evolution and complementary exams showed to be a thoracic tumor recurrence. We discuss the use of these markers for acute chest pain; possible differential diagnoses, the use of CKMB relative index and, particularly, the presence of macro CK in some breast cancer patients — which in the case herein presented was a marker of tumor progression.

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Published

2017-10-07

How to Cite

Vieira, R. A. da C., Santos, A. C., Oliveira-Junior, I. de, Silva, K. M. T. da, Lopes, S. L. B., & Paiva, C. E. (2017). ATYPICAL STERNAL PAIN IN A BREAST CANCER PATIENT MIMICKING ACUTE MYOCARDIAL INFARCTION. Mastology, 27(4), 363–366. Retrieved from https://revistamastology.emnuvens.com.br/revista/article/view/529

Issue

Vol. 27 No. 4 (2017)

Section

Case Reports

License

Copyright (c) 2017 René Aloisio da Costa Vieira, Alessandra Coelho Santos, Idam de Oliveira-Junior, Kátia Mathias Teixeira da Silva, Sérgio Luiz Brasileiro Lopes, Carlos Eduardo Paiva

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.