Cardiac symtoms prior to VATS

Gabrielle Morris

RUL presumed malignancy

Background

  • PET avid chest wall lesions – skin cancer
  • Schizophrenia 
  • COPD – normal spirometry, chest clear, nil recent exac

Issues 

  • Palpitations – frequent, long lasting, associated chest pain, diaphoresis, dizziness 
  • SOBOE 20m
  • New chest pain, lasting up to 10 mins, right sided radiating through to back, heavy sensation, at rest
  • DASI 3.7 mets 

Discussion

  • ?APID type tumour – secreting adrenalin / serotonin type substances 

Plan 

  • Stress echo and holter monitor 
  • Chase TSH and BP + HR records from GP

One thought on “Cardiac symtoms prior to VATS”

  1. Great post! It’s interesting to read about the potential diagnosis of a PET avid chest wall lesion in skin cancer. I’m curious to know more about the stress echo and holter monitor plan – how will these tests help in determining the diagnosis or ruling out possible conditions?

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