Literature Review: cardiovascular complications of cancer therapy

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


 A 54-year-old man with history of rectal cancer is sent to the ED from his outpatient chemotherapy clinic for chest pain. He states he woke up this morning with chest pressure that was associated with nausea and diaphoresis. His symptoms recurred today while receiving an infusion of 5-fluorouracil (day 3 of treatment). The following ECG is obtained during an episode of active chest pain:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What are your top differentials in the evaluation of diffuse ST segment elevation?
  3. What is the most likely diagnosis?