Case Report
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Year 2021, Volume: 38 Issue: 3, 383 - 386, 01.05.2021

Ethem Acar Ahmet Demir Birdal Yıldırım Ahmet Demir Aysel Gökçek

Abstract

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Project Number

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Thanks

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References

  • Cheng T.O., 2005. Mechanism of ST-elevation in acute pulmonary embolism. International journal of cardiology.103(2), 221-223.
  • Falterman T.J. M.J., Daberkow D., Weiss L.D., 2001. 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. J Emerg Med. 21(3), 255-261.
  • Lin J.F., Li Y.C., Yang P.L.,2009. A case of massive pulmonary embolism with ST elevation in leads V1-4. Circulation journal: official journal of the Japanese Circulation Society. 73,1157-1159.
  • Livaditis I.G., Paraschos M., Dimopoulos K.,2004. Massive pulmonary embolism with ST elevation in leads V1-V3 and successful thrombolysis with tenecteplase. Heart. 90:e41.
  • Sinha N., Yalamanchili K., Sukhija R., Aronow WS., Fleisher AG., Maguire GP., Lehrman SG., 2005. Role of the 12-lead electrocardiogram in diagnosing pulmonary embolism. Cardiology in review. 13, 46-49.
  • Van Mieghem C., Sabbe M., Knockaert D., 2004. The clinical value of the ECG in noncardiac conditions. Chest. 125, 1561-1576.
  • Wang K., Asinger, R.. W., Marriott, H. J. L., 2003. ST-Segment Elevation in Conditions Other Than Acute Myocardial Infarction. . N Engl J Med. 349, 2128-2135.
  • Wilson G.T., Schaller F.A., 2008. Pulmonary embolism mimicking anteroseptal acute myocardial infarction. The Journal of the American Osteopathic Association. 108, 344-349.
  • Yeh K.H., Chang H.C., 2008. Massive pulmonary embolism with anterolateral ST-segment elevation: electrocardiogram limitations and the role of echocardiogram. The American journal of emergency medicine.26, 632 e1-3.

A case of pulmonary thromboembolism with ST elevation and literature review

Year 2021, Volume: 38 Issue: 3, 383 - 386, 01.05.2021

Ethem Acar Ahmet Demir Birdal Yıldırım Ahmet Demir Aysel Gökçek

Abstract

Introduction: Electrocardiography (ECG) is an auxiliary test for differential diagnosis for Pulmonary Embolism (PTE). However, as its specificity is low, it is more often used for differential diagnosis. Although there are some changes in ECG in PTE, ST elevation is not a finding we expect to see. With this case report, we aimed to draw attention to the issue with the diagnosis of PTE in a patient with ST elevation in ECG.
Case Report: Our 52-year-old male patient was brought to the emergency room with a convulsion complaint after chest and back pain. During his examination in the emergency service, he went into convulsion he woke up spontaneously without a postictal period. After that he had a chest pain. V1-2-3-4 ST elevation was detected in the patient's ECG. Coronary CT angio was performed due to normal EEG and Brain CT. Coronary vessels were found normal in coronal CT angioma. However, the patient with embolism in the pulmonary vessels entering the cross-sectional area was treated with the diagnosis of PTE.
As a result, ST elevation may be a finding of PTE, although it is rare.

Keywords

Electrocardiography ST segment elevation Pulmonary Thromboembolism Emergency room

Project Number

yok

References

  • Cheng T.O., 2005. Mechanism of ST-elevation in acute pulmonary embolism. International journal of cardiology.103(2), 221-223.
  • Falterman T.J. M.J., Daberkow D., Weiss L.D., 2001. 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. J Emerg Med. 21(3), 255-261.
  • Lin J.F., Li Y.C., Yang P.L.,2009. A case of massive pulmonary embolism with ST elevation in leads V1-4. Circulation journal: official journal of the Japanese Circulation Society. 73,1157-1159.
  • Livaditis I.G., Paraschos M., Dimopoulos K.,2004. Massive pulmonary embolism with ST elevation in leads V1-V3 and successful thrombolysis with tenecteplase. Heart. 90:e41.
  • Sinha N., Yalamanchili K., Sukhija R., Aronow WS., Fleisher AG., Maguire GP., Lehrman SG., 2005. Role of the 12-lead electrocardiogram in diagnosing pulmonary embolism. Cardiology in review. 13, 46-49.
  • Van Mieghem C., Sabbe M., Knockaert D., 2004. The clinical value of the ECG in noncardiac conditions. Chest. 125, 1561-1576.
  • Wang K., Asinger, R.. W., Marriott, H. J. L., 2003. ST-Segment Elevation in Conditions Other Than Acute Myocardial Infarction. . N Engl J Med. 349, 2128-2135.
  • Wilson G.T., Schaller F.A., 2008. Pulmonary embolism mimicking anteroseptal acute myocardial infarction. The Journal of the American Osteopathic Association. 108, 344-349.
  • Yeh K.H., Chang H.C., 2008. Massive pulmonary embolism with anterolateral ST-segment elevation: electrocardiogram limitations and the role of echocardiogram. The American journal of emergency medicine.26, 632 e1-3.
There are 9 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Ethem Acar 0000-0003-2251-112X

Ahmet Demir 0000-0002-2513-8757

Birdal Yıldırım 0000-0002-6626-2180

Ahmet Demir 0000-0002-4704-1219

Aysel Gökçek 0000-0002-2514-8955

Project Number yok
Publication Date May 1, 2021
Submission Date July 14, 2020
Acceptance Date February 3, 2021
Published in Issue Year 2021 Volume: 38 Issue: 3

Cite

APA Acar, E., Demir, A., Yıldırım, B., Demir, A., et al. (2021). A case of pulmonary thromboembolism with ST elevation and literature review. Journal of Experimental and Clinical Medicine, 38(3), 383-386.
AMA Acar E, Demir A, Yıldırım B, Demir A, Gökçek A. A case of pulmonary thromboembolism with ST elevation and literature review. J. Exp. Clin. Med. May 2021;38(3):383-386.
Chicago Acar, Ethem, Ahmet Demir, Birdal Yıldırım, Ahmet Demir, and Aysel Gökçek. “A Case of Pulmonary Thromboembolism With ST Elevation and Literature Review”. Journal of Experimental and Clinical Medicine 38, no. 3 (May 2021): 383-86.
EndNote Acar E, Demir A, Yıldırım B, Demir A, Gökçek A (May 1, 2021) A case of pulmonary thromboembolism with ST elevation and literature review. Journal of Experimental and Clinical Medicine 38 3 383–386.
IEEE E. Acar, A. Demir, B. Yıldırım, A. Demir, and A. Gökçek, “A case of pulmonary thromboembolism with ST elevation and literature review”, J. Exp. Clin. Med., vol. 38, no. 3, pp. 383–386, 2021.
ISNAD Acar, Ethem et al. “A Case of Pulmonary Thromboembolism With ST Elevation and Literature Review”. Journal of Experimental and Clinical Medicine 38/3 (May 2021), 383-386.
JAMA Acar E, Demir A, Yıldırım B, Demir A, Gökçek A. A case of pulmonary thromboembolism with ST elevation and literature review. J. Exp. Clin. Med. 2021;38:383–386.
MLA Acar, Ethem et al. “A Case of Pulmonary Thromboembolism With ST Elevation and Literature Review”. Journal of Experimental and Clinical Medicine, vol. 38, no. 3, 2021, pp. 383-6.
Vancouver Acar E, Demir A, Yıldırım B, Demir A, Gökçek A. A case of pulmonary thromboembolism with ST elevation and literature review. J. Exp. Clin. Med. 2021;38(3):383-6.
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