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A 70-year-old man with a history of a myocardial infarction, hormone-refractory metastatic prostate cancer, and chronic renal insufficiency presented with chest pain. Electrocardiography revealed atrial fibrillation and ST-segment elevation in the anterior leads; the ST-segment elevation was unchanged from an electrocardiogram obtained three years previously. Lateral chest radiography showed a calcified aneurysm in the anterior wall of the left ventricle, which can cause ST-segment elevation. Measurement of cardiac enzymes revealed no evidence of myocardial infarction. Osteoblastic lesions from metastatic prostate cancer in the patient's ribs and thoracic spine probably caused his chest pain. A subsequent computed tomographic scan of the . . . [Full Text of this Article] |