The term “acute coronary syndrome” is widely used and some clinicians find it almost synonymous with coronary artery disease. This case presentation highlights the non-cardiac component of intricated acute chest pain.
Methods
A young 42 years old male patient presents to the emergency department with acute onset of chest pain, first in his life time, with acute ST elevation in the anterior leads and atrial fibrilation. He was subsequently treated for STEMI. Coronary angiogram however showed normal coronary arteries. Further tests showed a large anterior mediastinal mass invading the anterior pericardium with potential involvement of the myocardium.
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