Acute massive pulmonary embolism mimicking non-ST-elevation acute coronary syndrome

Non-ST-elevation acute coronary syndrome frequently presents with negative T-wave inversion. In acute pulmonary embolism precordial T-wave inversion occurs due to right ventricular strain. We herein report a case of a 48-year-old woman presenting with syncope secondary to massive main pulmonary arte...

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Bibliographic Details
Published in:The Egyptian Heart Journal
Main Authors: Prashanth Panduranga, Mohammed El-Deeb
Format: Article
Language:English
Published: SpringerOpen 2013-09-01
Subjects:
Pulmonary embolism
Acute coronary syndrome
T-wave inversion
Syncope
Echocardiography
Online Access:http://www.sciencedirect.com/science/article/pii/S1110260813000161
Description
Summary:Non-ST-elevation acute coronary syndrome frequently presents with negative T-wave inversion. In acute pulmonary embolism precordial T-wave inversion occurs due to right ventricular strain. We herein report a case of a 48-year-old woman presenting with syncope secondary to massive main pulmonary artery embolism which was initially diagnosed as acute coronary syndrome due to negative anterior T-wave inversion and raised troponin. In addition, her room air saturation was normal and electrocardiogram showed T-wave inversion in inferior wall leads as well. We present this case of massive pulmonary embolism with varied presentation which was initially misdiagnosed as acute coronary syndrome.
ISSN:1110-2608

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