Cardiac manifestation of the huge pulmonary mass simulating ST-elevation myocardial infarction

Abstract

A 77-year-old Caucasian female presented with central chest pain and an electrocardiogram showing anterior and inferior ST segment elevation. The patient had discrepancy of the blood pressure measurement and unequal radial pulses of the upper limbs. Urgent CT thorax and aorta showed no evidence of aortic dissection, but it showed a large mass in the left lung lower lobe, which involved the adjacent structures including the left ventricular. The patient refused to have a bronchoscopy or any further investigations and was discharged to the community with palliative care support.