Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Jan 28, 2025; 17(1): 100794
Published online Jan 28, 2025. doi: 10.4329/wjr.v17.i1.100794
Differentiating between immune checkpoint inhibitor-induced myocarditis and cardiac metastasis in a cardio-oncology patient presenting with myocardial infarction: A case report
George Latsios, Yiannis Dimitroglou, George Lazaros, Nikos Alexopoulos, Ilias Tolis, Constantina Aggeli, Costas Tsioufis
George Latsios, Yiannis Dimitroglou, George Lazaros, Ilias Tolis, Constantina Aggeli, Costas Tsioufis, 1st Department of Cardiology, Athens Medical School, “Hippokration” General Hospital, Athens 11527, Greece
Nikos Alexopoulos, Department of Radiology, Athens Euroclinic Hospital, Athens 11526, Greece
Author contributions: Latsios G and Dimitroglou Y drafted the original manuscript; Latsios G, Dimitroglou Y, Lazaros G, Alexopoulos N, and Tolis I contributed to the clinical care of the patient; Aggeli C revised and edited the final manuscript; Tsioufis K had the overall supervision.
Informed consent statement: The patient gave her informed consent in advance.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: George Latsios, MD, PhD, Chief Physician, 1st Department of Cardiology, Athens Medical School, “Hippokration” General Hospital, Alexandroupoleos 9, Athens 11527, Greece. glatsios@gmail.com
Received: August 26, 2024
Revised: December 2, 2024
Accepted: January 9, 2025
Published online: January 28, 2025
Processing time: 147 Days and 21.2 Hours
Core Tip

Core Tip: This case report presents a cardio oncology patient who presented with an acute coronary syndrome. However, the clinical presentation as well as the echocardiography findings were suspicious for an alternative diagnosis including immune checkpoint inhibitor-induced myocarditis or cardiac metastasis. Cardiac magnetic resonance aided the final diagnosis and the initiation of the appropriate treatment by the multidisciplinary team. The case highlights the significance of multimodality imaging for the management of cardio-oncology patients.