Key result
Pulmonary embolism mimics acute pericarditis with concave ST elevations in a low-risk patient.
Why the study?
Pulmonary embolism diagnosis can be easily missed due to non-specific clinical presentation including symptoms suggestive of other conditions such as acute pericarditis.
Case Report (n=1)
Atypical PE presentation without risk factors warrants diagnostic vigilance; hypothesis-generating for broader suspicion in low-probability patients.
Pulmonary embolism (PE) is a common cardiovascular emergency, by which occlusion of a part of the pulmonary arterial bed may lead to acute life threatening but potentially reversible right ventricular failure. Early diagnosis is fundamental to implement immediate effective treatment to reduce mortality. However, the diagnosis can be easily missed due to non-specific clinical presentation. We wish to present an unusual case whereby a patient with no risk factors for PE, symptoms suggestive of acute pericarditis and an ECG showing concave ST segment elevation was found to have multiple pulmonary emboli.
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Lee et al. (2012) conducted a case report in Pulmonary embolism (n=1). A patient with no risk factors for pulmonary embolism and symptoms of acute pericarditis with concave ST segment elevation on ECG was found to have multiple pulmonary emboli.
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