Volume 13 - Supplement, Winter
aumj 2024, 13 - Supplement, Winter: 43-48 |
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Alizadeh Kashani R, Hatamian S, Hamidian S, Nourian N. Diagnosis of acute pulmonary embolism with EKG changes Similar to acute coronary syndrome by bedside cardiac Ultrasound evaluation: case report and review of article. aumj 2024; 13 :43-48
URL: http://aums.abzums.ac.ir/article-1-1793-en.html
URL: http://aums.abzums.ac.ir/article-1-1793-en.html
1- Assistant Professor of Anesthesiology and Special Care, Clinical Research Development Unit, Shahid Madani Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
2- Student of Anesthesiology and Special Care Residency, Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
3- Bachelor of Nursing , Special Care Department, clinical research development unit , Shahid Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran
2- Student of Anesthesiology and Special Care Residency, Student Research Committee, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
3- Bachelor of Nursing , Special Care Department, clinical research development unit , Shahid Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran
Abstract: (1044 Views)
Introduction: Acute pulmonary embolism (PE) is an emergency and life-threatening disease that despite its relatively high prevalence in ICU patients, is still difficult to diagnose due to non-specific signs and symptoms. Symptoms such as shortness of breath and chest discomfort are completely non-specific and overlap with the diagnosis of acute coronary syndrome (ACS).
Materials and methods: EKG changes associated with acute pulmonary embolism are highly variable and can resemble acute coronary syndromes. Recently, changes in precordial leads in the form of inverted T wave have been described as a diagnostic clue of PE, although these changes are also seen in acute coronary syndrome.
Results: In this article, we report a 92-year-old man with dyspnea and progressive hypotension. Which was initially wrongly diagnosed as acute coronary syndrome due to diffuse inverted T in precordial leads V1 to V6, and pulmonary embolism was confirmed after cardiac ultrasound evaluation at the bedside.
Conclusion: In this article, we will talk about the diagnosis of this case and the review of related texts, emphasizing the limitations of EKG and the importance of using cardiopulmonary ultrasound at the bedside.
Materials and methods: EKG changes associated with acute pulmonary embolism are highly variable and can resemble acute coronary syndromes. Recently, changes in precordial leads in the form of inverted T wave have been described as a diagnostic clue of PE, although these changes are also seen in acute coronary syndrome.
Results: In this article, we report a 92-year-old man with dyspnea and progressive hypotension. Which was initially wrongly diagnosed as acute coronary syndrome due to diffuse inverted T in precordial leads V1 to V6, and pulmonary embolism was confirmed after cardiac ultrasound evaluation at the bedside.
Conclusion: In this article, we will talk about the diagnosis of this case and the review of related texts, emphasizing the limitations of EKG and the importance of using cardiopulmonary ultrasound at the bedside.
Keywords: Acute pulmonary embolism, acute coronary syndrome, T wave inversion, bedside cardiopulmonary ultrasound
Type of Study: Original |
Subject:
Special
Received: 2023/12/16 | Accepted: 2024/02/04 | Published: 2024/02/28
Received: 2023/12/16 | Accepted: 2024/02/04 | Published: 2024/02/28
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