Multiple myeloma

Multiple myeloma (MM) is a malignant tumor of plasma cell characterized by overproduction of abnormal plasma cells in the bone marrow and skeletal destruction. The clinical features are bone pain, renal impairment, immunodeficiency, anemia and presence of abnormal immunoglobulins (Ig).

ST segment depression

An electrocardiographic anomaly in which the ST segment is observed to be located inferior to the isoelectric line.


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PMID (PMCID)
26464407
 MALE
Not all ST-segment changes are myocardial injury: hypercalcaemia-induced ST-segment elevation.
Strand AO, Aung TT, Agarwal A.
BMJ Case Rep. 2015;2015:.
We describe the case of an 83-year-old man with coronary artery disease, ischaemic cardiomyopathy with left ventricular ejection fraction of 15%, newly diagnosed multiple myeloma that had an initial ECG showing ST-segment elevation in anterior leads V1-3 and ST-segment depression in lateral leads concerning for an ST-segment elevation myocardial infarction.