Case report: Severe hypercalcemia mimicking ST-segment elevation myocardial infarction

Methodist Debakey Cardiovasc J. 2014 Jul-Sep;10(3):193-7. doi: 10.14797/mdcj-10-3-193.

Abstract

The identification of ST-segment elevation on the electrocardiogram is an integral part of decision making in patients who present with suspected ischemia. Unfortunately, ST-segment elevation is nonspecific and may be caused by noncardiac causes such as electrolyte abnormalities. We present a case of ST-segment elevation secondary to hypercalcemia in a patient with metastatic cancer.

Keywords: STEMI; electrocardiogram; hypercalcemia.

Publication types

  • Case Reports

MeSH terms

  • Action Potentials
  • Aged
  • Arrhythmias, Cardiac / diagnosis*
  • Arrhythmias, Cardiac / etiology
  • Arrhythmias, Cardiac / physiopathology
  • Arrhythmias, Cardiac / therapy
  • Biomarkers / blood
  • Calcium / blood
  • Diagnosis, Differential
  • Electrocardiography*
  • Female
  • Humans
  • Hypercalcemia / blood
  • Hypercalcemia / diagnosis*
  • Hypercalcemia / etiology
  • Hypercalcemia / therapy
  • Kinetics
  • Myocardial Infarction / diagnosis*
  • Neoplasm Metastasis
  • Predictive Value of Tests
  • Risk Factors
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Biomarkers
  • Calcium