Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction

Maria Paparoupa; Razaz Aldemyati; Myrto Theodorakopoulou

doi:10.1155/2021/6616139

Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction

Standard

Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction. / Paparoupa, Maria; Aldemyati, Razaz; Theodorakopoulou, Myrto.

In: CASE REP MED, Vol. 2021, 6616139, 2021.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Paparoupa, M, Aldemyati, R & Theodorakopoulou, M 2021, 'Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction', CASE REP MED, vol. 2021, 6616139. https://doi.org/10.1155/2021/6616139

APA

Paparoupa, M., Aldemyati, R., & Theodorakopoulou, M. (2021). Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction. CASE REP MED, 2021, [6616139]. https://doi.org/10.1155/2021/6616139

Vancouver

Paparoupa M, Aldemyati R, Theodorakopoulou M. Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction. CASE REP MED. 2021;2021. 6616139. https://doi.org/10.1155/2021/6616139

Bibtex

@article{1660360bdc374049b32f9ecc47739ca5,

title = "Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction",

abstract = "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.",

author = "Maria Paparoupa and Razaz Aldemyati and Myrto Theodorakopoulou",

note = "Copyright {\textcopyright} 2021 Maria Paparoupa et al.",

year = "2021",

doi = "10.1155/2021/6616139",

language = "English",

volume = "2021",

journal = "CASE REP MED",

issn = "1687-9627",

publisher = "Hindawi Limited",

}

RIS

TY - JOUR

T1 - Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction

AU - Paparoupa, Maria

AU - Aldemyati, Razaz

AU - Theodorakopoulou, Myrto

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 -