Acute ECG ST-segment elevation mimicking myocardial infarction in a patient with pulmonary embolism

Cardiovascular Ultrasound

Volumn 8, Issue 1, 2010, Pages

  Goslar, Toma ^a   Podbregar, Matej ^a  

^a UNIVERSITY MEDICAL CENTRE LJUBLJANA   (Slovenia)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID; CONTRAST MEDIUM; GLYCERYL TRINITRATE; HEPARIN; MORPHINE; THIETHYLPERAZINE; WARFARIN;

ADULT; ANGIOCARDIOGRAPHY; ARTERY EMBOLISM; ARTICLE; CASE REPORT; CORONARY ARTERY EMBOLISM; DIAGNOSTIC PROCEDURE; DRUG SUBSTITUTION; DRUG WITHDRAWAL; DYSPNEA; ELECTROCARDIOGRAM; FATIGUE; HEART CATHETERIZATION; HEART INFARCTION; HEART RIGHT BUNDLE BRANCH BLOCK; HEART RIGHT LEFT SHUNT; HUMAN; HYPOTENSION; INTENSIVE CARE UNIT; LABORATORY TEST; LUNG EMBOLISM; MALE; PERCUTANEOUS CORONARY INTERVENTION; PHYSICAL EXAMINATION; POPLITEAL VEIN THROMBOSIS; RIGHT TO LEFT INTRAATRIAL COMMUNICATION; SINUS RHYTHM; ST SEGMENT ELEVATION MYOCARDIAL INFARCTION; TELEMETRY; THORAX PAIN; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TRANSTHORACIC ECHOCARDIOGRAPHY; ULTRASOUND; VEIN THROMBOSIS; DIAGNOSTIC ERROR; DIFFERENTIAL DIAGNOSIS; ELECTROCARDIOGRAPHY; METHODOLOGY; MIDDLE AGED;

DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC ERRORS; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; ELECTROCARDIOGRAPHY; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; PULMONARY EMBOLISM;

EID: 78549291408     PISSN: None     EISSN: 14767120     Source Type: Journal    
DOI: 10.1186/1476-7120-8-50     Document Type: Article

References (27)

1. A structured clinical model for predicting the probability of pulmonary embolism. M Miniati S Monti M Bottai, Am J Med 2003 114 3 173 9 10.1016/S0002-9343(02)01478-X 12637130
2. Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). A Torbicki A Perrier S Konstantinides G Agnelli N Galiè P Pruszczyk F Bengel AJ Brady D Ferreira U Janssens W Klepetko E Mayer M Remy-Jardin JP Bassand ESC Committee for Practice Guidelines (CPG), Eur Heart J 2008 29 18 2276 315 10.1093/eurheartj/ehn310 18757870
3. ECG manifestations of selected extracardiac diseases. ML Pollack, Emerg Med Clin North Am 2006 24 1 133 43 vii 10.1016/j.emc.2005.08.009 16308116
4. Pulmonary embolism with ST segment elevation in leads V1 to V4: case report and review of the literature regarding electrocardiographic changes in acute pulmonary embolism. TJ Falterman JA Martinez D Daberkow LD Weiss, J Emerg Med 2001 21 3 255 61 10.1016/S0736-4679(01)00381-X 11604280
5. Pulmonary embolism mimicking anteroseptal acute myocardial infarction. GT Wilson FA Schaller, J Am Osteopath Assoc 2008 108 7 344 9 18648028
6. Mechanism of ST-elevation in precordial leads V(1)-V(4) in acute pulmonary embolism. TO Cheng, Int J Cardiol 2009 136 3 251 2 10.1016/j.ijcard.2009.01.041 19201493
7. Mechanism of ST-elevation in acute pulmonary embolism. TO Cheng, Int J Cardiol 2005 103 2 221 3 10.1016/j.ijcard.2004.08.078 16080988
8. Natriuretic peptides and troponins in pulmonary embolism: a meta-analysis. JC Lega Y Lacasse L Lakhal S Provencher, Thorax 2009 64 10 869 75 10.1136/thx.2008.110965 19525265
9. Cardiac troponin I elevation in acute pulmonary embolism is associated with right ventricular dysfunction. T Meyer L Binder N Hruska H Luthe AB Buchwald, J Am Coll Cardiol 2000 36 5 1632 6 10.1016/S0735-1097(00)00905-0 11079669
10. Clinical usefulness and prognostic value of elevated cardiac troponin I levels in acute pulmonary embolism. NJ Mehta K Jani IA Khan, Am Heart J 2003 145 5 821 5 10.1016/S0002-8703(02)94704-6 12766738
11. The pathophysiology of failure in acute right ventricular hypertension: hemodynamic and biochemical correlations. GJ Vlahakes K Turley JI Hoffman, Circulation 1981 63 1 87 95 7438411
12. Performance of the right ventricle under stress: relation to right coronary flow. H Brooks ES Kirk PS Vokonas CW Urschel EH Sonnenblick, J Clin Invest 1971 50 10 2176 83 10.1172/JCI106712 5116207
13. Elevations of CK-MB following pulmonary embolism. A manifestation of occult right ventricular infarction. JE Adams BA Siegel JA Goldstein AS Jaffe, Chest 1992 101 5 1203 6 10.1378/chest.101.5.1203 1582271
14. A case of massive pulmonary embolism with ST elevation in leads V1-4. JF Lin YC Li PL Yang, Circ J 2009 73 6 1157 9 10.1253/circj.CJ-08-0474 19096187
15. Massive pulmonary embolism with ST elevation in leads V1-V3 and successful thrombolysis with tenecteplase. IG Livaditis M Paraschos K Dimopoulos, Heart 2004 90 7 41 10.1136/hrt.2004.036335 15201267
16. Paradoxical coronary embolism causing non-ST segment elevation myocardial infarction in a case of pulmonary embolism. D Haghi T Sueselbeck T Papavassiliu KK Haase M Borggrefe, Z Kardiol 2004 93 10 824 8 10.1007/s00392-004-0130-0 15492899
17. Paradoxical embolism. BI Johnson, J Clin Pathol 1951 4 3 316 32 10.1136/jcp.4.3.316 14873803
18. Aortic origin of conus coronary artery. Evidence of postnatal coronary development. BS Edwards WD Edwards JE Edwards, Br Heart J 1981 45 5 555 8 10.1136/hrt.45.5.555 7236461
19. Transient precordial ST elevation by a spasm of the conus artery during right coronary angiography. S Kagiyama T Koga S Kaseda S Ishihara N Kawazoe S Sadoshima, Int J Cardiol 2007 116 2 57 9 10.1016/j.ijcard.2006.07.196 17088001
20. Diagnosis and treatment of shock due to massive pulmonary embolism: approach with transesophageal echocardiography and intrapulmonary thrombolysis. B Krivec G Voga I Zuran R Skale R Pareznik M Podbregar M Noc, Chest 1997 112 5 1310 6 10.1378/chest.112.5.1310 9367474
21. Impact of morphologic characteristics of central pulmonary thromboemboli in massive pulmonary embolism. M Podbregar B Krivec G Voga, Chest 2002 122 3 973 9 10.1378/chest.122.3.973 12226042
22. Characterization of pulmonary emboli ex vivo by magnetic resonance imaging and ultrasound. G Tratar A Blinc M Podbregar E Kralj J Balazic M Sabovic I Sersa, Thromb Res 2007 120 5 763 71 Epub 2007 Feb 20 10.1016/j.thromres.2006. 12.024 17316773
23. Relation of ultrasound morphologic characteristics of central pulmonary artery thromboemboli to their ex vivo lysibility. M Podbregar L Gabrscek M Pakiz A Blinc M Sabovi E Kralj, J Am Soc Echocardiogr 2007 20 3 276 80 10.1016/j.echo.2006.08.033 17336754
24. Monitoring mixed venous oxygen saturation inpatients with obstructive shock after massive pulmonary embolism. B Krivec G Voga M Podbregar, Wien Klin Wochenschr 2004 116 9-10 326 31 10.1007/BF03040904 15237659
25. Patent foramen ovale is an important predictor of adverse outcome in patients with major pulmonary embolism. S Konstantinides A Geibel W Kasper M Olschewski L Blumel H Just, Circulation 1998 97 1946 51 9609088
26. Duplex scan in patients with clinical suspicion of deep venous thrombosis. A de Oliveira GJ França EA Vidal PS Stalke LA Baroncini, Cardiovasc Ultrasound 2008 6 53 10.1186/1476-7120-6-53 18937859
27. Is closure recommended for patent foramen ovale and cryptogenic stroke? Patent foramen ovale and cryptogenic stroke: to close or not to close? Closure: what else! S Windecker B Meier, Circulation 2008 118 19 1989 98 10.1161/CIRCULATIONAHA.107.757013 18981313