Metastatic squamous cell carcinoma to the heart. Unusual cause of angina decubitus and cardiac murmur.

A 61-year-old woman was admitted to the hospital with the new onset of angina at rest and an ECG consistent with anterior wall ischemia. She was also noted to have a new cardiac murmur. Eighteen months earlier, she had been treated for squamous cell carcinoma of the base of the tongue.