Article ; Online: Comparative study on electrocardiograms and serological examinations of acute pulmonary embolism and acute non-ST elevation myocardial infarction.
2021 Volume 27, Issue 2, Page(s) e12920
Abstract: Background: The aim of this study was to investigate the value of electrocardiograms (ECGs) and serological examinations in the differential diagnosis of acute pulmonary embolism (APE) and acute non-ST elevation myocardial infarction (NSTEMI) in order ... ...
Abstract | Background: The aim of this study was to investigate the value of electrocardiograms (ECGs) and serological examinations in the differential diagnosis of acute pulmonary embolism (APE) and acute non-ST elevation myocardial infarction (NSTEMI) in order to reduce the rate of clinical misdiagnosis. Methods: The clinical data of 37 patients with APE and 103 patients with NSTEMI admitted to our hospital were retrospectively analyzed. The differences in the clinical manifestations, ECGs, myocardial zymograms, D-dimers, and troponin (cTn) of the two groups were compared. Results: In the patients with APE, the main symptom-found in 25 cases (67.56%)-was dyspnea, while in the patients with NSTEMI, the main symptom-found in 52 cases (50.49%)-was chest tightness. The incidences of sinus tachycardia and S Conclusion: With the occurrence of clinical manifestations like dyspnea, chest tightness, chest pain, and palpitation of unknown causes, the possibility of APE and NSTEMI should be considered. |
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MeSH term(s) | Acute Disease ; Anterior Wall Myocardial Infarction ; Arrhythmias, Cardiac ; Biomarkers ; Creatine Kinase ; Creatine Kinase, MB Form ; Dyspnea ; Electrocardiography ; Humans ; Non-ST Elevated Myocardial Infarction/diagnosis ; Pulmonary Embolism/diagnosis ; Retrospective Studies ; ST Elevation Myocardial Infarction |
Chemical Substances | Biomarkers ; Creatine Kinase (EC 2.7.3.2) ; Creatine Kinase, MB Form (EC 2.7.3.2) |
Language | English |
Publishing date | 2021-12-09 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1325530-7 |
ISSN | 1542-474X ; 1082-720X |
ISSN (online) | 1542-474X |
ISSN | 1082-720X |
DOI | 10.1111/anec.12920 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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