28 November 2020>: Articles
Pulmonary Embolism Presenting as ST-Elevation Myocardial Infarction: A Diagnostic Trap
Challenging differential diagnosis
Ayesha Siddiqa A* , Asim Haider A , Abhishrut Jog A , Bing Yue A , Nassim R. Krim ADOI: 10.12659/AJCR.927923
Am J Case Rep 2020; 21:e927923
Table 1. A summary of various case reports of pulmonary embolism presenting as ST-elevation MI (STEMI).
Age | Sex | Symptoms | EKG | Cardiac biomarkers | Coronary angiography | |
---|---|---|---|---|---|---|
Tomaz et al. []14 | 57 | M | Chest pain/dyspnea/fatigue | ST elevation in V1–V4. T wave inversion in III, incomplete RBBB | Elevated | Occlusion of conus |
Wilson et al. []15 | 57 | M | Syncope/chest pain/dyspnea | RBBB, ST elevation, Q wave in anteroinferior leads | Elevated | Moderate atherosclerosis |
Lin et al. []16 | 35 | M | Syncope/chest pain/dyspnea | Incomplete RBBB, ST elevation in V1–V4. Q in III | No | Normal |
Falterman et al. []4 | 62 | M | Syncope/dyspnea | ST elevation in V1–V4, incomplete RBBB | – | Normal |
Livaditis et al. []17 | 42 | F | Syncope/abdominal pain/dyspnea | Sinus tachycardia, ST elevation in V1–V3 | – | Normal |
Haghi et al. []18 | 61 | F | Dyspnea/chest pain | RBBB, T wave inversion in V1–V4 | – | Occlusion of 1 marginal branch |
Our case | 46 | M | Syncope/chest pain/dyspnea | ST elevation in V1–V4 | elevated | Normal |