A Case of Acute Myocardial Infarction and Pericarditis Unmasking Metastatic Involvement of the Heart

Introduction Metastases to the heart and pericardium are much more common than primary cardiac tumors and are generally associated with a poor prognosis.1,2 While they are most commonly asymptomatic, cardiac metastases can mimic primary cardiac diseases such as acute coronary syndromes, congestive heart failure and pericarditis.3,4 Lung cancer is the most frequent source of metastatic cardiac disease, either from direct extension or by a combination of lymphatic, hematogenous, and transvenous dissemination.2,5. © 2020, Arquivos Brasileiros de Cardiologia. All rights reserved.