Acute Pulmonary Embolism Masquerading as Acute Inferior Myocardial Infarction

Chukwudi Obiagwu, Jinu John, Lou Mastrine, Elliot Borgen, Jacob Shani

Abstract


It is always important to maintain a high index of suspicion in the diagnosis of acute pulmonary embolism (PE). Death in patients with undiagnosed PE was shown to be 4 - 6 times higher than in those with a definite diagnosis and treatment. The ECG as much as it has great utility, unfortunately lacks sensitivity and specificity, providing findings that might serve as red herrings to the unsuspecting physician by suggesting an alternative diagnosis. This report describes a woman whose EKG showed ST segment elevations suggestive of acute inferior wall myocardial infarction (MI), but eventually was found to have a sub-massive PE.




J Med Cases. 2014;5(2):73-75
doi: http://dx.doi.org/10.14740/jmc1584e

Keywords


Pulmonary embolism; Myocardial infarction; Echocardiogram in pulmonary embolism

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