Acute pulmonary embolism mimicking inferior myocardial infarction

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 elev...

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Bibliographic Details
Published in:Türk Kardiyoloji Derneği arşivi 2014-04, Vol.42 (3), p.290-293
Main Authors: Emren, Sadık Volkan, Arıkan, Mehmet Erdinç, Senöz, Oktay, Varış, Eser, Akan, Erol
Format: Article
Language:English
Subjects:
Aged
Diagnosis, Differential
Electrocardiography
Humans
Inferior Wall Myocardial Infarction - diagnosis
Male
myocardial infarction
Pulmonary Embolism - diagnosis
Pulmonary Embolism - physiopathology
pulmonary embolism
right bundlebranch block
st segment elevation
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Summary: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.
ISSN:1016-5169
1016-5169
DOI:10.5543/tkda.2014.77392