Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction
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Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction. / Paparoupa, Maria; Aldemyati, Razaz; Theodorakopoulou, Myrto.
in: CASE REP MED, Jahrgang 2021, 6616139, 2021.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction
AU - Paparoupa, Maria
AU - Aldemyati, Razaz
AU - Theodorakopoulou, Myrto
N1 - Copyright © 2021 Maria Paparoupa et al.
PY - 2021
Y1 - 2021
N2 - Electrocardiographic abnormalities in patients with massive pulmonary embolism are common and unspecific. An 80-year-old woman was admitted to our department with severe respiratory insufficiency and hemodynamic instability. Abnormal high-sensitivity cardiac troponin I and ST-segmental elevation in II, III, aVF, and V3-V6 were present on admission. Segmental motion abnormalities of the left ventricular wall were not detectable in echocardiography. Instead, the presence of a right ventricular strain raised the suspicion of a lung artery embolization. The diagnosis was confirmed by a computed tomography of the chest, and a thrombolytic therapy with 100 mg recombinant tissue plasminogen activator (rt-PA) was administered. Though respiratory and hemodynamic stability were established, electromechanical disassociation suddenly occurred 30 hours later and the patient died. Electrocardiographic changes mimicking a myocardial infarction may occur after a massive pulmonary embolism and constitute a diagnostic challenge for clinicians being active in the field of emergency medicine and intensive care.
AB - Electrocardiographic abnormalities in patients with massive pulmonary embolism are common and unspecific. An 80-year-old woman was admitted to our department with severe respiratory insufficiency and hemodynamic instability. Abnormal high-sensitivity cardiac troponin I and ST-segmental elevation in II, III, aVF, and V3-V6 were present on admission. Segmental motion abnormalities of the left ventricular wall were not detectable in echocardiography. Instead, the presence of a right ventricular strain raised the suspicion of a lung artery embolization. The diagnosis was confirmed by a computed tomography of the chest, and a thrombolytic therapy with 100 mg recombinant tissue plasminogen activator (rt-PA) was administered. Though respiratory and hemodynamic stability were established, electromechanical disassociation suddenly occurred 30 hours later and the patient died. Electrocardiographic changes mimicking a myocardial infarction may occur after a massive pulmonary embolism and constitute a diagnostic challenge for clinicians being active in the field of emergency medicine and intensive care.
U2 - 10.1155/2021/6616139
DO - 10.1155/2021/6616139
M3 - SCORING: Journal article
C2 - 34221022
VL - 2021
JO - CASE REP MED
JF - CASE REP MED
SN - 1687-9627
M1 - 6616139
ER -