Open AccessA potential diagnostic pitfall in ST elevation: Acute pulmonary embolism or ST‐segment elevation myocardial infarction
Author(s) -
Zheng Bo,
Bian Fei,
Li Jingsen,
Xu Huipu,
Wang Jian
Publication year - 2022
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12928
Subject(s) - medicine , cardiology , myocardial infarction , st segment , st elevation , pulmonary embolism , acute coronary syndrome , coronary angiography , electrocardiography , myocardial infarction diagnosis , artery
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 V 1 –V 3 /V 4 , 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 V 1 –V 4 , along with severe stenosis of the left anterior descending (LAD) artery.