A potential diagnostic pitfall in acute chest pain: Massive pulmonary embolism mimicking acute STEMI - 10/03/18
, Po-Hsun Huang a, b, cAbstract |
Background |
Pulmonary embolism (PE) represents a clinical challenge for clinicians because of nonspecific presentations, including dyspnea, chest pain, and tachycardia. The immediate 12-lead electrocardiogram (ECG) is commonly used to facilitate differential diagnosis of acute chest pain. Although relative rare, massive pulmonary embolism could induce ST segment elevation and mimic acute myocardial infarction.
Case presentation |
We present a challenging scenario that ECG showed ST segment elevation, nevertheless, urgent coronary angiogram revealed non-obstructive coronary artery disease. Unfortunately, the patient suffered from cardiac arrest and required extracorporeal membrane oxygenation devices. Finally, massive pulmonary embolism was diagnosed.
Conclusion |
This case illustrates acute PE could mimic ST segment elevation myocardial infarction. ST elevations on ECG should be interpreted after considering clinical presentations before making a decision.
Le texte complet de cet article est disponible en PDF.Keywords : Pulmonary embolism, Acute myocardial infarction, ST elevation
Plan
| ☆ | All the authors have no potential financial and non-financial conflicts of interest. |
Vol 36 - N° 3
P. 461-463 - mars 2018 Retour au numéro
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