Navigating the Needles: Unveiling the Risks of Acupuncture, A Case ReportHarkesh Arora1, Dhiran Sivasubramanian2, Sinduja Sivakumar 3, Sivaguha Yadunath4, Sreekanth Avula5(corresponding author)1Lovelace Medical Center, 601 Dr. Martin Luther King Jr Ave NE, Albuquerque, NM USA 871022Christian Medical College and Hospital Vellore3Burrell College of Osteopathic Medicine4Mercy Catholic Medical Center - Mercy Fitzgerald Campus5University of Minnesota, Twin Cities, PWB, 516 Delaware St SE 6-207, Minneapolis, MN, USA 55455; avula015@umn.edu

Introduction:Myocardial metastatic cancer is rare, and diagnosis is challenging. Supradiaphragmatic malignancies are the most common to metastasize to the heart. Endocardial involvement is rare, followed by involvement of the pericardium, epicardium, and myocardium. Myocardial metastasis leads to varied clinical presentations ranging from arrhythmias, congestive heart failure, myocardial infarction, and intracavitary mass lesions (1). We are describing a patient with a prior diagnosis of coronary artery disease (CAD) and Coronary artery bypass graft (CABG) presenting as recurrent ST-elevation myocardial infarction (STEMI) and diagnosed with cardiac metastasis from lung squamous cell carcinoma (SCC).

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