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Case Report: Diffuse T wave inversions as initial electrocardiographic evidence in acute pulmonary embolism.

ABSTRACT: Acute pulmonary embolism (PE) is a life-threatening condition and is typically diagnosed by a combination of symptoms, clinical signs and imaging. Electrocardiogram may be helpful in diagnosis, and the most widely described pattern of occurrence is the so-called S ₁Q ₃T ₃ pattern. Here, we describe the case of an African-American male who presented with typical chest pain, diffuse T wave inversions with serial troponin elevation. There was initial concern for Wellen's syndrome but was finally diagnosed as acute PE. This case underscores the necessity of vigilance and a lower threshold for PE work up even in patients presenting as acute coronary syndrome.

SUBMITTER: Egini O

PROVIDER: S-EPMC6178910 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Case Report: Diffuse T wave inversions as initial electrocardiographic evidence in acute pulmonary embolism.

Egini Ogechukwu O Dufresne Alix A Khalid Mazin M Egini Chinedu C Jaffe Eric E

F1000Research 20180613

Acute pulmonary embolism (PE) is a life-threatening condition and is typically diagnosed by a combination of symptoms, clinical signs and imaging. Electrocardiogram may be helpful in diagnosis, and the most widely described pattern of occurrence is the so-called S 1Q 3T 3 pattern. Here, we describe the case of an African-American male who presented with typical chest pain, diffuse T wave inversions with serial troponin elevation. There was initial concern for Wel ...[more]

PMID: 30356445

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Electrocardiographic findings associated with early clinical deterioration in acute pulmonary embolism.

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| S-EPMC9796434 | biostudies-literature

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