Comparative study on electrocardiograms and serological examinations of acute pulmonary embolism and acute non‐ST elevation myocardial infarction

Autor: Zhihong He, Wenmiao Bi, Zhe Lang, Yanjie Zhen, Ying Jin, Hongjuan Liu, Dongfu Li, Xiaoning Hu, Huanling Li
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Annals of Noninvasive Electrocardiology, Vol 27, Iss 2, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 1542-474X
1082-720X
DOI: 10.1111/anec.12920
Popis: Abstract Background The aim of this study was to investigate the value of electrocardiograms (ECGs) and serological examinations in the differential diagnosis of acute pulmonary embolism (APE) and acute non‐ST elevation myocardial infarction (NSTEMI) in order to reduce the rate of clinical misdiagnosis. Methods The clinical data of 37 patients with APE and 103 patients with NSTEMI admitted to our hospital were retrospectively analyzed. The differences in the clinical manifestations, ECGs, myocardial zymograms, D‐dimers, and troponin (cTn) of the two groups were compared. Results In the patients with APE, the main symptom—found in 25 cases (67.56%)—was dyspnea, while in the patients with NSTEMI, the main symptom—found in 52 cases (50.49%)—was chest tightness. The incidences of sinus tachycardia and SIQIIITIII in the group of patients with APE were higher than in the group of patients with NSTEMI, and the difference was statistically significant (p .05), although there was a statistically significant difference of creatine kinase (CK) and the creatine kinase isoenzyme‐MB (CK‐MB) in the two groups (p
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