Key result
The Zurkurnai ECG pattern, defined as right axis deviation, poor R wave progression, and deep symmetrical T wave inversion in V1-V5 and inferior leads, indicates high-risk acute pulmonary embolism.
Why the study?
Overlapping clinical presentations with acute coronary syndrome, aortic dissection, pneumonia, and heart failure make diagnosing acute pulmonary embolism challenging in resource-limited centers.
Case Report (n=1)
The Zurkurnai ECG pattern, characterized by right axis deviation, deep symmetrical T wave inversion in V1-V5 and inferior leads, and poor R wave progression, may serve as a novel indicator of high-risk acute pulmonary embolism.
Zurkurnai ECG pattern may signal acute PE with RV strain rather than NSTEMI; single case leaves diagnostic value hypothesis-generating pending validation.
Acute pulmonary embolism is an important differential diagnosis in patients presenting with acute shortness of breath. However, the overlapping clinical presentation between acute coronary syndrome, aortic dissection, pneumonia, and heart failure made the diagnosis of pulmonary embolism very challenging in a limited resources center. We present a case of acute pulmonary embolism with an uncommon ECG pattern that was initially misdiagnosed as acute coronary syndrome. The authors made the appropriate diagnosis using the Zurkurnai ECG pattern in acute pulmonary embolism, which is defined as the presence of right axis deviation, deep symmetrical T wave inversion in V1 to V5, II, III, and AVF with the maximum at V3-V4 and poor R wave progression, which indicates the high-risk features of acute pulmonary embolism.
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Othman et al. (2024) conducted a case report in Acute pulmonary embolism (n=1). Zurkurnai ECG pattern was evaluated on Identification of high-risk features of acute pulmonary embolism via ECG. The Zurkurnai ECG pattern, defined as right axis deviation, poor R wave progression, and deep symmetrical T wave inversion in V1-V5 and inferior leads, indicates high-risk acute pulmonary embolism.
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