Key result
Acute PE mimics anterior STEMI in a case complicated by severe LAD stenosis.
Why the study?
Acute pulmonary embolism often presents with nonspecific symptoms and can mimic STEMI with ST-segment elevation, but typically occurs with normal coronary arteries.
Case Report (n=1)
Acute pulmonary embolism can present with ST-segment elevation mimicking STEMI, and can co-occur with severe coronary artery stenosis, complicating diagnosis.
PE must remain in the STEMI differential even with concurrent LAD stenosis; this case leaves open optimal diagnostic sequencing.
The diagnosis of acute pulmonary embolism (APE) is a great challenge for physicians due to its nonspecific symptoms, and often missed or misdiagnosed as acute coronary syndrome. Electrocardiographic (ECG) abnormalities are seen in majority of patients with APE. Recently, APE with ST‐segment elevation (STE) in leads V1–V3/V4, mimicking ST‐segment elevation myocardial infarction (STEMI), has been described. However, coronary angiography showed that the patient's coronary arteries were mostly normal. Herein, we describe a case of APE presenting with STE in V1–V4, along with severe stenosis of the left anterior descending (LAD) artery.
No takes yet. Share an insight, caveat, or question.
Zheng et al. (2021) conducted a case report in Acute pulmonary embolism mimicking ST-segment elevation myocardial infarction (n=1). Acute pulmonary embolism with ST-segment elevation was evaluated. A case of acute pulmonary embolism presented with ST-segment elevation in leads V1-V4 mimicking STEMI, complicated by severe stenosis of the left anterior descending artery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: