Unique ECG Findings in Acute Pulmonary Embolism: STE with Reciprocal Changes and Pathologic Q Wave
Joint Authors
Grant-Orser, Amanda
Ballantyne, Brennan
Haddara, Wael
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-03
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 68-year-old male presented to the emergency department with retrosternal chest pain, presyncope, and then a pulseless electrical activity cardiac arrest.
An ECG prior to his arrest revealed ST elevations in leads V1–V3, Q waves in lead V2, and reciprocal ST depressions in the lateral and inferior leads.
He received thrombolytic therapy for a presumptive diagnosis of ST elevation myocardial infarction.
Return of spontaneous circulation was achieved and he underwent a coronary angiogram.
No critical disease was found and his left ventriculogram showed normal contraction.
His ongoing metabolic acidosis and dependence on an intra-aortic balloon pump, despite adequate cardiac output, prompted a CT pulmonary angiogram which showed multiple segmental filling defects.
He was treated for a pulmonary embolism and was discharged 5 days later.
Acute pulmonary embolism (APE) has variable clinical presentations.
To our knowledge, this is the first case report of an APE presenting with these ECG findings suggestive of myocardial ischemia.
In this case report, we discuss the underlying physiological mechanisms responsible and offer management suggestions for emergency department and critical care physicians to better expedite the treatment of APE mimicking acute coronary syndrome on ECG.
American Psychological Association (APA)
Grant-Orser, Amanda& Ballantyne, Brennan& Haddara, Wael. 2018. Unique ECG Findings in Acute Pulmonary Embolism: STE with Reciprocal Changes and Pathologic Q Wave. Case Reports in Critical Care،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1141216
Modern Language Association (MLA)
Grant-Orser, Amanda…[et al.]. Unique ECG Findings in Acute Pulmonary Embolism: STE with Reciprocal Changes and Pathologic Q Wave. Case Reports in Critical Care No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1141216
American Medical Association (AMA)
Grant-Orser, Amanda& Ballantyne, Brennan& Haddara, Wael. Unique ECG Findings in Acute Pulmonary Embolism: STE with Reciprocal Changes and Pathologic Q Wave. Case Reports in Critical Care. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1141216
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141216