A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction
| Autor: | Huipu Xu, Jian Wang, Bo Zheng, Jingsen Li, Fei Bian |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome business.industry ST elevation General Medicine medicine.disease Pulmonary embolism Coronary arteries Elevation (emotion) medicine.anatomical_structure stomatognathic system Physiology (medical) Internal medicine Cardiology Medicine ST segment cardiovascular diseases Myocardial infarction Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Annals of Noninvasive Electrocardiology. 27 |
| ISSN: | 1542-474X 1082-720X |
| Popis: | The diagnosis of acute pulmonary embolism (APE) is a great challenge for physicians due to its nonspecific symptoms, and often missed or misdiagnosed as acute coronary syndrome. Electrocardiographic (ECG) abnormalities are seen in majority of patients with APE. Recently, APE with ST-segment elevation (STE) in leads V1 -V3 /V4 , mimicking ST-segment elevation myocardial infarction (STEMI), has been described. However, coronary angiography showed that the patient's coronary arteries were mostly normal. Herein, we describe a case of APE presenting with STE in V1 -V4 , along with severe stenosis of the left anterior descending (LAD) artery. |
| Databáze: | OpenAIRE |
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