Massive pulmonary embolism can infrequently masquerade as ST-elevation myocardial infarction and can be successfully treated with aspiration thrombectomy.
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May support aspiration thrombectomy in massive PE mimicking STEMI; hypothesis-generating and should not yet change practice.
Pulmonary embolism (PE) lacks an acute specific electrocardiographic pattern. It can infrequently masquerade as ST-elevation myocardial infarction (MI). We report a case of massive pulmonary embolism, presenting as an out-of-hospital cardiac arrest and anteroseptal ST-elevation. The diagnosis was made by pulmonary angiography. Aspiration thrombectomy was performed immediately following the diagnosis, with a good outcome. J Med Cases. 2013;4(10):662-666 doi: http://dx.doi.org/10.4021/jmc1423w
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Mohammad et al. (2013) studied this question.
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