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We mistakenly diagnosed a patient with pulmonary embolism as ST-elevation acute myocardial infarction. The case complained of chest pain with ST-elevation in leads AVR, III, AVF, V 1 , V 3R , V 4R  and V 5R . In addition, we also found ST- elevation  AVR, III &gt;ST- elevation  AVF , Q III &gt;Q AVF  and Q V1 . Multi-site pulmonary embolism can lead to type 2 myocardial infarction or special type of myocardial infarction with non-obstructive coronary arteries through multiple pathological mechanisms.

Chest pain with ST-elevation in leads AVR, III, AVF, V 1 , V 3R , V 4R and V 5R