Not quite an acute ST segment elevation myocardial infarction

Acute ST-Segment Elevation Myocardial Infarction (MI) has long been known as one of the most serious emergencies cardiologists face on a daily basis. Typically, patient’s present with crushing chest pain and shortness of breath compounded with classic ECG changes and positive TROPONIN level. Definitive management in such patients involves emergent cardiac catheterization with the intent to diagnose and treat any form of coronary obstruction. However, there are times when despite these findings there is an alternative etiology which may not be cardiac after all. One such etiology includes cardiac lymphoma where involvement of the heart muscle can result in ECG changes mimicking underlying myocardial ischemia or infarction. This review and case report provides insight into this rare but documented cardiac condition.