Key result
Multidisciplinary IVC filtration and thrombus aspiration successfully treat PE initially misdiagnosed as ACS.
Why the study?
Pulmonary embolism often presents with symptoms similar to acute coronary syndrome, making clinical diagnosis challenging.
Case Report (n=1)
No
This case highlights the critical need to differentiate pulmonary embolism from acute coronary syndrome in patients with overlapping symptoms and elevated cardiac biomarkers, demonstrating successful management with mechanical intervention and anticoagulation.
PE warrants inclusion in ACS differentials with biomarker elevation; Level 5 evidence leaves open generalizability of multidisciplinary strategies.
Pulmonary embolism (PE) often presents with symptoms similar to acute coronary syndrome (ACS), making diagnosis challenging. We report a case of a 55-year-old male with hypertension, chronic kidney disease, and hyperuricemia who developed chest pain and shortness of breath. Initial evaluation suggested ACS due to electrocardiogram changes and elevated cardiac biomarkers. However, coronary angiography (CAG) showed no significant stenosis, prompting further diagnostic workup. Computed tomography pulmonary angiography (CTPA) confirmed PE, likely secondary to deep vein thrombosis (DVT) in the right lower extremity. The patient was treated with an inferior vena cava (IVC) filter and thrombus aspiration, followed by anticoagulation therapy. This case highlights the critical need to differentiate PE from ACS and emphasizes the importance of a multidisciplinary approach in managing thromboembolic events to ensure optimal patient outcomes.
No takes yet. Share an insight, caveat, or question.
Rao et al. (2025) conducted a case report in Pulmonary embolism mimicking acute coronary syndrome (n=1). Inferior vena cava (IVC) filter, thrombus aspiration, and anticoagulation was evaluated on Clinical recovery and thrombus recanalization. A multidisciplinary approach involving IVC filter placement, thrombus aspiration, and anticoagulation successfully treated a 55-year-old male with pulmonary embolism initially misdiagnosed as acute coronary syndrome.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: