1. Positional changes leading to transient ischaemia in a patient with neuroendocrine carcinoma of the lung
- Author
-
Hassan Tahir, Raj Baljepally, and James Livesay
- Subjects
0301 basic medicine ,Male ,medicine.medical_specialty ,Coronary Vasospasm ,Case Report ,030105 genetics & heredity ,Coronary Angiography ,Transient ischaemia ,03 medical and health sciences ,Electrocardiography ,0302 clinical medicine ,Internal medicine ,medicine.artery ,medicine ,Carcinoid Heart Disease ,Humans ,Neuroendocrine carcinoma ,In patient ,cardiovascular diseases ,Myocardial infarction ,Lung ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,Carcinoma, Neuroendocrine ,medicine.anatomical_structure ,Coronary vasospasm ,Right coronary artery ,Cardiology ,ST Elevation Myocardial Infarction ,business ,030217 neurology & neurosurgery - Abstract
Coronary spasm in carcinoid heart disease has an incidence of 10%, but is rare in patients with neuroendocrine tumours without carcinoid heart disease. We present a rare case of right coronary artery spasm and ST elevations secondary to a neuroendocrine carcinoma of the lung, uniquely provoked by positional changes. Our patient is a 55-year-old man with recurrent ST-elevation myocardial infarction secondary to coronary vasospasm that was diagnosed with neuroendocrine carcinoma of the lung. We believe his positional coronary spasm episodes were likely due to intermittent tumour compression from changes in body position. Our case highlights positional coronary spasm as a previously unreported and potentially early manifestation of neuroendocrine carcinoma of the lung.
- Published
- 2023