Key result
Pulmonary embolism mimics NSTEMI and warrants consideration in atypical presentations with elevated troponin.
Case Report (n=1)
No
Pulmonary embolism should be considered in the differential diagnosis of patients presenting with chest pain and elevated troponin when the clinical picture does not fit myocardial infarction.
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PE warrants consideration in atypical troponin-positive chest pain; case report extends differential awareness but leaves open prospective validation.
We describe a case which highlights the difficulties in diagnosing pulmonary embolism as it can mimic other conditions. In a patient with chest pain with raised troponin, a diagnosis of pulmonary embolism should also be considered as well if the clinical picture does not fit with myocardial infarction. Otherwise, the diagnosis of pulmonary embolism can be easily missed and patients may not receive appropriate treatment resulting in increased mortality.
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Ahmad et al. (2009) conducted a case report in Pulmonary embolism presenting as NSTEMI (n=1). Warfarin and low molecular weight heparin was evaluated. A 55-year-old man with chest pain and elevated troponin was initially misdiagnosed with NSTEMI, demonstrating that pulmonary embolism can mimic myocardial infarction and should be considered in atypical presentations.
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