Article ; Online: Acute pulmonary embolism presenting with electrocardiographic signs and serum biomarkers of ST-segment elevation myocardial infarction: a case report.
The Journal of international medical research
2023 Volume 51, Issue 9, Page(s) 3000605231197063
Abstract: Acute pulmonary embolism (APE) with ST-segment elevation and an upward T-wave is rare, and only a few cases have been reported to date. We herein present a case involving a man in his early 70s with an 8-hour history of dyspnea. Serial ... ...
Abstract | Acute pulmonary embolism (APE) with ST-segment elevation and an upward T-wave is rare, and only a few cases have been reported to date. We herein present a case involving a man in his early 70s with an 8-hour history of dyspnea. Serial electrocardiography (ECG) demonstrated ST-segment elevation in leads V1 to V3 with an upward T-wave, laboratory tests revealed a high serum concentration of high-sensitivity cardiac troponin I, and signs of acute myocardial infarction were present. However, emergency coronary angiography revealed normal coronary arteries. A subsequent computed tomography scan of the pulmonary arteries showed findings consistent with APE. The patient's chest tightness was relieved after catheter-directed thrombolysis. Postoperative ECG showed that the ST-segment in leads V1 to V3 had fallen back and that the T-wave was inverted. The patient was discharged on rivaroxaban therapy. Clinically, the ECG findings of ST-segment elevation and an upward T-wave in APE can be easily misdiagnosed as acute myocardial infarction. Physicians should maintain clinical suspicion through risk stratification to identify APE. |
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MeSH term(s) | Male ; Humans ; Animals ; ST Elevation Myocardial Infarction/diagnosis ; Myocardial Infarction/diagnosis ; Electrocardiography ; Acute Disease ; Pulmonary Embolism/diagnostic imaging ; Biomarkers ; Hominidae |
Chemical Substances | Biomarkers |
Language | English |
Publishing date | 2023-09-05 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ZDB-ID | 184023-x |
ISSN | 1473-2300 ; 0300-0605 ; 0142-2596 |
ISSN (online) | 1473-2300 |
ISSN | 0300-0605 ; 0142-2596 |
DOI | 10.1177/03000605231197063 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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