Pulmonary embolism mimicking acute myocardial infarction: a case report and review of literature

The Pan African Medical Journal

Abir Wahabi¹  Saida Zelfani¹  Mounir Daghfous¹  Hela Manai¹  Saoussen Laabidi¹  Sara Akeri¹ 

[1] Pre Hospital Emergency Department (SAMU 01), Emergency Medical Help Center of Tunis, Tunis, Tunisia;

关键词: myocardial infarction;    pulmonary thromboembolism;    electrocardiography;   

DOI  :  10.11604/pamj.2019.33.275.18517

来源: DOAJ

【 摘 要 】

The diagnosis of pulmonary thromboembolism (PTE) with changes shown by electrocardiography (ECG) is a challenge in the clinical practice due to rare pathognomonic findings. We report the case of a 37-year old woman managed in out of hospital sitting for a chest pain. Electrocardiogram was suggestive of antero-septal acute myocardial infarction (AMI). Catheterization revealed non occlusive coronary disease. Transthoracic echocardiography showed an elevated pulmonary and right heart pressures. Computed tomography pulmonary angiography confirmed the diagnosis of bilateral pulmonary embolism. PTE with ECG changes should be considered in the differential diagnosis of AMI, particularly in young patients with chest pain and ST segment elevation suggestive of acute coronary syndrome.

【 授权许可】

Unknown