CASE REPORT Variable ECG findings associated with pulmonary embolism

نویسندگان

  • Amr Mohsen
  • Karim El-Kersh
چکیده

To cite: Mohsen A, El-Kersh K. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013008697 SUMMARY An elderly man with a recent diagnosis of invasive rectal adenocarcinoma was admitted to the hospital because of a lower gastrointestinal bleeding and low haemoglobin. During the hospitalisation he complained of chest pain. ECG showed new onset ST-segment elevation in leads III, aVF and in the precordial leads V1–V4. Shortly thereafter, he became hypotensive and coded. Despite resuscitation he passed away. Autopsy revealed massive pulmonary emboli with near complete obstruction of the involved branches of the pulmonary arteries. Coronary arteries were free of significant coronary artery disease and multiple sections of the myocardium showed the absence of myocardial infarction.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Pulmonary Embolism with Abdominal Pain and ST Elevation: A Case Report

Pulmonary embolism is considered as a great masquerader due to its frequent nonspecific signs and symptoms. Typically pulmonary embolism is under-diagnosed or over-diagnosed. In this study a patient with pulmonary embolism is reported in which the patient exhibited two unusual manifestations namely; right upper quadrant abdominal pain and ST-T elevation in anterior precordial leads. Due to the ...

متن کامل

Syncope; the Initial Manifestation of Pulmonary Embolism: A Case Report

Syncope is the state of lack of consciousness and temporal loss of postural tone. Syncope might be in association with a variety of benign and life-threatening conditions. Pulmonary embolism (PE) has been shown to be associated with syncope in 13-30 percent of cases. This article presents a novel case report of PE whom syncope was his only manifestation.

متن کامل

Post Splenectomy Fatal Pulmonary Embolism in a Patient with Moderate Hemophilia A

Hemophilia A is a bleeding disorder caused by defective production of factor VIII. The main concern associated with the disease is bleeding, especially after trauma and surgeries. Factor VIII replacement therapy is associated with substantial decrease of bleeding events during surgery. However, there have been a number of reports of thromboemblic events in this situ-ation. The present report de...

متن کامل

Periodontal Pockets as a Potential Source of Infection: a Case of Possible Odontogenic Septic Pulmonary Embolism

Although dental foci can be sources of bacteremia and bacterial endocarditis, hematogenous spread of infection presented with septic pulmonary embolism apparently is rare. The occurrence of septic pulmonary embolism in patients with periodontal disease without suppurative thrombophlebitis of the great vessels of the neck is well documented but to our knowledge, there is no report on septic pulm...

متن کامل

Role of paraclinical assessment in management of massive pulmonary embolism: A case report

Despite all the diagnosis and treatment processes of pulmonary thromboembolism (PTE), it is still associated with a high rate of mortality. We describe a massive PTE case of a 73-year-old woman with unusual clinical manifestations.

متن کامل

Limitations of ECG in diagnosing pulmonary embolism.

In the article "The ECG in Pulmonary Embolism" by Ferrari et al (March 1997),1 the authors report their experience with the use of ECG in monitoring the workouts of patients with pulmo¬ nary embolism (PE). They found that the pattern of inverted T waves in the anterior precordial leads is the most frequent ECG sign in PE patients and the best index of massive PE, being associated with an angiog...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2013