Beyond acute coronary occlusion—the malignant STEMI mimic

Jeet Upadhyay; Shaun Khanna; Aditya Bhat; Suzanne Eshoo

doi:10.1016/j.hlc.2026.01.016

Beyond acute coronary occlusion—the malignant STEMI mimic

Jeet Upadhyay
, Shaun Khanna
, Aditya Bhat
, Suzanne Eshoo

School of Medicine

Blacktown Hospital
The George Institute for Global Health
Baker Heart and Diabetes Institute
Western Sydney University
University of New South Wales

Research output: Contribution to journal › Article › peer-review

Abstract

ST-elevation myocardial infarction (STEMI) necessitates prompt coronary reperfusion, but conditions can mimic these electrocardiographic (ECG) changes and complicate the diagnosis. Cardiac tumours, predominantly metastatic in nature, are rare and often asymptomatic. However, direct myocardial invasion by metastasis may produce changes resembling ST-segment elevation. We present a case of a STEMI mimic caused by this phenomenon.

Original language	English
Number of pages	3
Journal	Heart Lung and Circulation
DOIs	https://doi.org/10.1016/j.hlc.2026.01.016
Publication status	E-pub ahead of print (In Press) - 2026

Keywords

Acute coronary syndrome
Cardiac metastasis
ST-elevation myocardial infarction

Access to Document

10.1016/j.hlc.2026.01.016

Cite this

@article{0c5af28a20904b35bc7a619b49e9156e,

title = "Beyond acute coronary occlusion{\textemdash}the malignant STEMI mimic",

abstract = "ST-elevation myocardial infarction (STEMI) necessitates prompt coronary reperfusion, but conditions can mimic these electrocardiographic (ECG) changes and complicate the diagnosis. Cardiac tumours, predominantly metastatic in nature, are rare and often asymptomatic. However, direct myocardial invasion by metastasis may produce changes resembling ST-segment elevation. We present a case of a STEMI mimic caused by this phenomenon.",

keywords = "Acute coronary syndrome, Cardiac metastasis, ST-elevation myocardial infarction",

author = "Jeet Upadhyay and Shaun Khanna and Aditya Bhat and Suzanne Eshoo",

year = "2026",

doi = "10.1016/j.hlc.2026.01.016",

language = "English",

journal = "Heart Lung and Circulation",

issn = "1443-9506",

publisher = "Elsevier",

}

TY - JOUR

T1 - Beyond acute coronary occlusion—the malignant STEMI mimic

AU - Upadhyay, Jeet

AU - Khanna, Shaun

AU - Bhat, Aditya

AU - Eshoo, Suzanne

PY - 2026

Y1 - 2026

N2 - ST-elevation myocardial infarction (STEMI) necessitates prompt coronary reperfusion, but conditions can mimic these electrocardiographic (ECG) changes and complicate the diagnosis. Cardiac tumours, predominantly metastatic in nature, are rare and often asymptomatic. However, direct myocardial invasion by metastasis may produce changes resembling ST-segment elevation. We present a case of a STEMI mimic caused by this phenomenon.

AB - ST-elevation myocardial infarction (STEMI) necessitates prompt coronary reperfusion, but conditions can mimic these electrocardiographic (ECG) changes and complicate the diagnosis. Cardiac tumours, predominantly metastatic in nature, are rare and often asymptomatic. However, direct myocardial invasion by metastasis may produce changes resembling ST-segment elevation. We present a case of a STEMI mimic caused by this phenomenon.

KW - Acute coronary syndrome

KW - Cardiac metastasis

KW - ST-elevation myocardial infarction

UR - https://www.scopus.com/pages/publications/105041165347

UR - https://go.openathens.net/redirector/westernsydney.edu.au?url=https://doi.org/10.1016/j.hlc.2026.01.016

U2 - 10.1016/j.hlc.2026.01.016

DO - 10.1016/j.hlc.2026.01.016

M3 - Article

C2 - 42209352

AN - SCOPUS:105041165347

SN - 1443-9506

JO - Heart Lung and Circulation

JF - Heart Lung and Circulation

ER -

Beyond acute coronary occlusion—the malignant STEMI mimic

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this