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Diffuse myocardial metastasis of carcinoid tumour
  1. Sahmin Lee,
  2. Seung-Pyo Lee,
  3. Dae-Won Sohn
  1. Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, Korea
  1. Correspondence to Dr Seung-Pyo Lee, Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, Korea; 110-744splee0624{at}gmail.com

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A 31-year-old man presented to our department for paroxysmal nocturnal dyspnoea that had worsened over the past several months. He had atypical carcinoid disease primarily involving lung and pleura, which had worsened despite appropriate chemotherapy for the past 4 years.

The ECG at the time of the diagnosis of carcinoid disease showed only non-specific ST segment and T wave changes. During follow-up, sinus tachycardia occurred gradually and the ECGs showed right atrial enlargement and right bundle branch …

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