Why the study?
Diagnosing pulmonary thromboembolism with electrocardiographic changes is challenging in clinical practice due to rare pathognomonic findings.
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Pulmonary thromboembolism should be considered in the differential diagnosis of acute myocardial infarction, especially in young patients presenting with chest pain and ST segment elevation.
The diagnosis of pulmonary thromboembolism (PTE) with changes shown by electrocardiography (ECG) is a challenge in the clinical practice due to rare pathognomonic findings. We report the case of a 37-year old woman managed in out of hospital sitting for a chest pain. Electrocardiogram was suggestive of antero-septal acute myocardial infarction (AMI). Catheterization revealed non occlusive coronary disease. Transthoracic echocardiography showed an elevated pulmonary and right heart pressures. Computed tomography pulmonary angiography confirmed the diagnosis of bilateral pulmonary embolism. PTE with ECG changes should be considered in the differential diagnosis of AMI, particularly in young patients with chest pain and ST segment elevation suggestive of acute coronary syndrome.
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Zelfani et al. (2019) studied this question.
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