Key result
Massive bilateral pulmonary thromboembolism mimics anteroseptal MI with dynamic ST elevation despite normal coronaries.
Case Report (n=1)
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Massive pulmonary embolism can present with dynamic ST segment elevation mimicking anteroseptal myocardial infarction, emphasizing the importance of considering PTE in the differential diagnosis of acute coronary syndrome.
OBJECTIVES: To report a case with dynamic ST segment elevation suggestive of anteroseptal acute myocardial infarction (AMI) that proved to be bilateral pulmonary thromboembolism (PTE). CLINICAL PRESENTATION AND INTERVENTION: A 50-year-old woman with syncope was transferred to the emergency department. Findings from the admission electrocardiogram were suggestive of anteroseptal AMI; however, coronary angiography revealed that the patient had normal coronary arteries. On further evaluation, the patient was found to have massive bilateral PTE. CONCLUSION: This report emphasizes the role of evolving electrocardiographic changes in the diagnosis of PTE, particularly in patients with chest pain and ST segment elevation suggestive of acute coronary syndrome.
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Yorgun et al. (2011) conducted a case report in Pulmonary thromboembolism mimicking anteroseptal acute myocardial infarction (n=1). Electrocardiographic evaluation and coronary angiography was evaluated on Diagnosis of massive bilateral pulmonary thromboembolism. A 50-year-old woman with dynamic ST segment elevation mimicking anteroseptal myocardial infarction was found to have normal coronary arteries and massive bilateral pulmonary thromboembolism.
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