Severity: Warning
Message: file_get_contents(https://...@pubfacts.com&api_key=b8daa3ad693db53b1410957c26c9a51b4908&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 176
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3122
Function: getPubMedXML
File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
The main electrocardiographic signs of metastasis and spread of malignant tumors to the heart in 123 patients were studied. The most reliable electrocardiographic criterion of tumor metastasis to the heart are signs of a macrofocal lesion with no dynamics of changes characteristic of ischemic heart disease. Spread of a tumor to the heart and micronodal metastasis are characterized by the appearance of signs of microfocal myocardial lesion on the ECG. Specific carcinomatous pericarditis has all the ECG signs that are typical of pericarditis of any other etiology. Electrical alternation in an oncological patient is a convincing sign of metastatic lesion of the heart.
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