Shortened QT interval as a initial presentation of lung carcinoma
Author(s): P Anandan, Anuhya Adusumilli*, Aravind Raj G, Devang J Barad, Benish Pius, Rangeela P and Myla Vijay Krishna
Abstract
Background: Shortened QT interval is seen in various metabolic abnormalities one such abnormality is hypercalcemia and it is an unusual presentation seen in patients with lung carcinoma. Case study: A 55YR old female came for general checkup and had complaints of generalized tiredness and fatigue for about 1 month which was gradual in onset, constipation for 1 week. Pallor was present. ECG was done, it showed shortened QT interval. Hemoglobin was estimated to be 4g/dl at presentation on further evaluation a lesion in liver and lung was found. When biopsy was taken from the lung lesion it turned out to be Squamous cell carcinoma of lung. Conclusion: Shortened QT interval if present in an ECG we should evaluate for electrolyte abnormalities, and if hypercalcemia is found patients should be ruled out of underlying Para neoplastic syndromes.