Pulmonary Embolism Presenting as an Anterior ST-elevation Myocardial Infarction: A Case Report.

Autor:	Ladage V; Midwestern University Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois., Jones M; Franciscan Health Olympia Fields, Department of Cardiology, Olympia Fields, Illinois.; Midwestern University Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois., Ahmad F; Franciscan Health Olympia Fields, Department of Cardiology, Olympia Fields, Illinois., Plamoottil C; Midwestern University Chicago College of Osteopathic Medicine, Department of Emergency Medicine, Downers Grove, Illinois., Misek R; Midwestern University Chicago College of Osteopathic Medicine, Department of Clinical Education, Downers Grove, Illinois., Alexander-Anyaogu N; Franciscan Health Olympia Fields, Department of Emergency Medicine, Olympia Fields, Illinois.
Jazyk:	angličtina
Zdroj:	Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2020 Nov; Vol. 4 (4), pp. 660-663.
DOI:	10.5811/cpcem.2020.7.48421
Abstrakt:	Introduction: While the electrocardiogram (ECG) for pulmonary embolism typically shows tachycardia or evidence of right heart strain, it can demonstrate ischemic changes similar to acute coronary syndrome. Case Report: The patient in this case presented with syncope, chest pain, and an ECG showing an anterior acute myocardial infarction (AMI) without evidence of right heart strain. His cardiac catheterization showed no coronary artery occlusions, but some signs of pulmonary embolism (PE), which was confirmed on computed tomography angiography of the chest. Conclusion: This case demonstrates that PE should be high on the differential for AMI and describes an uncommonly encountered mimic for classic ST-elevation myocardial infarction ECG changes. Further diagnostics to confirm the diagnosis should be obtained when indicated.
Databáze:	MEDLINE
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