Acute pulmonary embolism mimicking inferior myocardial infarction
| Autor: | Erol Akan, Mehmet Erdinç Arıkan, Sadık Volkan Emren, Eser Varış, Oktay Şenöz |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
lcsh:Internal medicine lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Elevated pulmonary artery pressure lcsh:Medicine Inferior Wall Myocardial Infarction Chest pain Coronary artery disease Diagnosis Differential Electrocardiography Internal medicine medicine.artery medicine Humans cardiovascular diseases lcsh:RC31-1245 Aged medicine.diagnostic_test business.industry pulmonary embolism right bundlebranch block st segment elevation lcsh:R Electrocardiography in myocardial infarction medicine.disease Right pulmonary artery Pulmonary embolism myocardial infarction lcsh:RC666-701 Pulmonary artery Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business Pulmonary Embolism |
| Zdroj: | Türk Kardiyoloji Derneği Arşivi, Vol 42, Iss 3, Pp 290-293 (2014) |
| ISSN: | 1016-5169 |
| Popis: | Pulmonary embolism (PE) is a potentially life-threatening emergency that is sometimes difficult to diagnose due to nonspecific symptoms and findings. A 69-year-old male was admitted to our hospital with new-onset chest pain and sweating. The electrocardiogram (ECG) revealed sinus rhythm with ST elevations in the inferior leads. His angiogram showed noncritical coronary artery disease with a few plaques. Right heart catheterization was made, which revealed an elevated pulmonary artery pressure of 45/23 mmHg. A pulmonary angiogram was then performed, at first from the pulmonary trunk and then the right pulmonary artery, which showed occlusion of the pulmonary artery to the right lower lobe. This report emphasizes that acute PE should be suspected in every patient with ST elevation myocardial infarction and normal coronary arteries. ST changes may be in the inferior as well as the anterior leads. |
| Databáze: | OpenAIRE |
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