Suspected Pulmonary Embolism-Associated Advanced Heart Block

Figures

• 

  Figure 1. The patient’s 12-lead electrocardiogram (ECG) on presentation to the emergency room Indicated a complete heart block (CHB) with an intraventricular conduction delay (IVCD).

• 

  Figure 2. The patient’s computed tomography-pulmonary embolism (CT-PE) protocol scan A) Axial view demonstrating the left upper lobe segmental artery filling defect, encircled in red; B) Axial view demonstrating the right lower lobe segmental artery filling defect, encircled in red; C) Coronal view demonstrating the left upper lobe segmental artery filling defect, encircled in red; D) Coronal view demonstrating the right lower lobe segmental artery filling defect, encircled in red.

• 

  Figure 3. The patient’s transradial coronary angiography (TR-CAG) A) Left anterior oblique (LAO) view of the right coronary artery (RCA) demonstrates the coronary slow flow (CSF) phenomenon, very mild luminal irregularities, and a temporary transvenous pacemaker (TTVP); B) Right anterior oblique (RAO) view of the RCA demonstrates the CSF phenomenon, very mild luminal irregularities, and TTVP.