A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST-segment elevation myocardial infarction

Annals of noninvasive electrocardiology: the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc

article

Bo Zheng MD¹  Fei Bian MD¹  Jingsen Li MD¹  Huipu Xu PhD¹  Jian Wang MD¹ 

[1] Department of Cardiology, Binzhou Medical University Hospital

关键词: electrocardiogram;    myocardial infarction;    pulmonary embolism;    ST-segment elevation;   

DOI  :  10.1111/anec.12928

来源: Wiley

【 摘 要 】

The diagnosis of acute pulmonary embolism (APE) is a great challenge for physicians due to its nonspecific symptoms, and often missed or misdiagnosed as acute coronary syndrome. Electrocardiographic (ECG) abnormalities are seen in majority of patients with APE. Recently, APE with ST-segment elevation (STE) in leads V 1 –V 3 /V 4 , mimicking ST-segment elevation myocardial infarction (STEMI), has been described. However, coronary angiography showed that the patient's coronary arteries were mostly normal. Herein, we describe a case of APE presenting with STE in V 1 –V 4 , along with severe stenosis of the left anterior descending (LAD) artery.

【 授权许可】

Unknown