Cor Vasa 2020, 62(3):329-331 | DOI: 10.33678/cor.2019.056
Acute ECG ST-segment elevation as infero-lateral myocardial infarction in a patient with pulmonary embolism
- Aksaray University, Aksaray Training and Research Hospital, Department of Cardiology, Aksaray, Turkey
Pulmonary embolism and ST-elevation myocardial infarction are both common causes of cardiovascular emergency which may rapidly lead to hemodynamic deterioration. A 70-year-old female brought to emergency department in cardiac arrest. The electrocardiogram (ECG) revealed sinus rhythm with right bundle branch block, ST-elevations in inferolateral leads. Her coronary angiogram showed non-obstructive coronary artery disease with a few plaques. A CT pulmonary angiogram showed subtotal occlusion of left main pulmonary artery and multiple filling defects on bilateral pulmonary distal segments. This report emphasizes that acute PE should be suspected in every patient with ST-elevation myocardial infarction and normal coronary arteries.
Keywords: 12-lead ECG, Myocardial infarction, Pulmonary embolism
Received: May 18, 2019; Accepted: July 15, 2019; Published: July 29, 2020 Show citation
References
- Mohsen A, El-Kersh K. Variable ECG findings associated with pulmonary embolism. BMJ Case Rep 2013;2013:bcr2013008697.
Go to original source... 
Go to PubMed... - Torbicki A, Perrier A, Konstantinides S, et al. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). Eur Heart J 2008;29:2276-2315. Go to original source... Go to PubMed...
- Soloff LA, Rodman T. Acute pulmonary embolism. Am Heart J 1967;74:629-647. Go to original source...
- Lin JF, Li YC, Yang PL. A case of massive pulmonary embolism with ST elevation in leads V1-4. Circ J 2009;73:1157-1159. Go to original source... Go to PubMed...
- Kukla P, WF McIntyre, Fijorek K, et al. Electrocardiographic abnormalities in patients with acute pulmonary embolism complicated by cardiogenic shock. Emerg Med 2014;32:507-510. Go to original source... Go to PubMed...
- Ghatak A, Alsulaimi A, Acosta YM, et al. Acute pulmonary embolism masquerading as acute myocardial infarction. Proc (Bayl Univ Med Cent) 2015;28:69-70. Go to original source... Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.