Abstract

We are reporting a case of 57 year old lady smoker with history of hypertension, diabetes, hypercholesterolemia and depression that was admitted to hospital for suicidal ideation and paraspinal abscess. Patient had acute retrosternal chest pain associated with shortness of breath, electrocardiogram finding was highly suggestive of STEMI in V1-V3, Patient coded in ventricular tachycardia that cardioverted to sinus rhythm, coronary angiogram didn’t reveal culprit lesion but pulmonary angiogram confirmed the diagnosis of pulmonary embolism.

Highlights

  • Pulmonary Embolism (PE) is a relatively common disease that can be life threatening [1,2,3]

  • Patient presented with chest pain and EKG finding highly suggestive of Acute Coronary Syndrome (ACS), coronary angiography couldn’t find culprit lesion but there was massive PE on pulmonary angiogram

  • Pulmonary Embolism has been known to be associated with different morphological EkG changes, the predominant rhythm abnormalities is sinus tachycardia, most of PE cases have EKG changes suggestive of acute right ventricular strain like, incomplete or complete right bundle branch block, an S1Q3T3 pattern, inverted T waves in the second and third precordial leads [12,13,14,15]

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Summary

Introduction

Pulmonary Embolism (PE) is a relatively common disease that can be life threatening [1,2,3]. Variable Electrocardiogram (EKG) patterns were found in patients with PE [5,6] ST Segment Elevation Myocardial Infarction (STEMI) is extremely rare. Patient presented with chest pain and EKG finding highly suggestive of Acute Coronary Syndrome (ACS), coronary angiography couldn’t find culprit lesion but there was massive PE on pulmonary angiogram.

Results
Conclusion
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