ECG findings of the anterolateral ST segment elevation as a primary manifestation of lung adenocarcinoma: A case report

Tumors of the heart are not very common in the population. The clinical symptoms are non-specific and depend on the size and localization of the tumor. Our case report describes a 56 year-old male, who was referred to our facility for selective coronary angiography with a clinical picture of ST segment elevation myocardial infarction. However, the cause of the ECG changes was advanced lung carcinoma growing into the myocardium.     

Clinical picture of cardiogenic shock as primary manifestation of sepsis originating in the knee joint

This is a case report of a male with infection in the right knee joint progressing to sepsis. However, the patient initially complained mainly of dysarthria and breathlessness. He rapidly developed respiratory insufficiency with the loss of consciousness. Echocardiography revealed severe dysfunction of the left ventricle, suggesting acute failure of the chronically failing heart. The patient was referred to a coronary care unit. Only the further course of the disease, particularly progression of the local finding on the right leg and development of fever, together with significantly elevated inflammatory parameters in laboratory findings, resulted in the diagnosis of sepsis which also included myocardial dysfunction and brain hypoperfusion manifested as dysarthria.