Acute Pulmonary Embolism with ST- Elevation Truly an Unusual Combination- but Still Exists! A Clinical Review of the Unusual Case-Juniper Publishers
JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Acute pulmonary embolism (APE) is a cardiovascular emergency that without prompt clinical diagnosis and treatment may result in fatal outcomes. Indeed, the symptoms can be quite non-specific often causing clinical dilemma as well as potentially at risk of misdiagnosing on the initial presentation. More specifically, the electrocardiographic (ECG) manifestation of APE can be diverse from normal to sinus tachycardia with or without features of acute right heart strain. We present an unusual case of APE presented with the pattern of acute ST-elevation on the 12-lead ECG mimicking acute myocardial infarction; thereby discussing the clinical dilemma which arose with this case as well as all the potentially and relevant differential diagnosis for the presentation. Keywords: ST- elevation; Acute pulmonary embolism; Acute myocardial infarction ...