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

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 elevatio...

Descripción completa

Detalles Bibliográficos
Autores principales: Zheng, Bo, Bian, Fei, Li, Jingsen, Xu, Huipu, Wang, Jian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107082/
https://www.ncbi.nlm.nih.gov/pubmed/34861070
http://dx.doi.org/10.1111/anec.12928
_version_ 1784708413234610176
author Zheng, Bo
Bian, Fei
Li, Jingsen
Xu, Huipu
Wang, Jian
author_facet Zheng, Bo
Bian, Fei
Li, Jingsen
Xu, Huipu
Wang, Jian
author_sort Zheng, Bo
collection PubMed
description 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.
format Online
Article
Text
id pubmed-9107082
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-91070822022-05-19 A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction Zheng, Bo Bian, Fei Li, Jingsen Xu, Huipu Wang, Jian Ann Noninvasive Electrocardiol Case Reports 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. John Wiley and Sons Inc. 2021-12-03 /pmc/articles/PMC9107082/ /pubmed/34861070 http://dx.doi.org/10.1111/anec.12928 Text en © 2021 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Zheng, Bo
Bian, Fei
Li, Jingsen
Xu, Huipu
Wang, Jian
A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction
title A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction
title_full A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction
title_fullStr A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction
title_full_unstemmed A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction
title_short A potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction
title_sort potential diagnostic pitfall in st elevation: acute pulmonary embolism or st‐segment elevation myocardial infarction
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107082/
https://www.ncbi.nlm.nih.gov/pubmed/34861070
http://dx.doi.org/10.1111/anec.12928
work_keys_str_mv AT zhengbo apotentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT bianfei apotentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT lijingsen apotentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT xuhuipu apotentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT wangjian apotentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT zhengbo potentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT bianfei potentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT lijingsen potentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT xuhuipu potentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction
AT wangjian potentialdiagnosticpitfallinstelevationacutepulmonaryembolismorstsegmentelevationmyocardialinfarction

Ejemplares similares