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Case Reports in Critical Care
Volume 2018, Article ID 7865894, 3 pages
https://doi.org/10.1155/2018/7865894
Case Report

Unique ECG Findings in Acute Pulmonary Embolism: STE with Reciprocal Changes and Pathologic Q Wave

1Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada
2Division of Cardiology, Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada
3Division of Critical Care Medicine and Division of Endocrinology & Metabolism, Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada

Correspondence should be addressed to Wael Haddara; ac.no.cshl@araddah.leaw

Received 1 December 2017; Accepted 19 February 2018; Published 3 April 2018

Academic Editor: Joel Starkopf

Copyright © 2018 Amanda Grant-Orser et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. A. Qaddoura, G. Digby, C. Kabali, P. Kukla, Z. Zhan, and A. Baranchuk, “The Value of Electrocardiography for the Prognostication of Acute Pulmonary Embolism: A Systematic Review and Meta-Analysis,” Journal of the American College of Cardiology, vol. 67, no. 13, p. 830, 2016. View at Publisher · View at Google Scholar
  2. M. S. Toosi, J. D. Merlino, and K. V. Leeper, “Electrocardiographic Score and Short-Term Outcomes of Acute Pulmonary Embolism,” American Journal of Cardiology, vol. 100, no. 7, pp. 1172–1176, 2007. View at Publisher · View at Google Scholar · View at Scopus
  3. J. D. Shopp, L. K. Stewart, T. W. Emmett, and J. A. Kline, “Findings from 12-lead electrocardiography that predict circulatory shock from pulmonary embolism: Systematic review and meta-analysis,” Academic Emergency Medicine, vol. 22, no. 10, pp. 1127–1137, 2015. View at Publisher · View at Google Scholar · View at Scopus
  4. K. P. S. Raghav, P. Makkuni, and V. M. Figueredo, “A review of electrocardiography in pulmonary embolism: recognizing pulmonary embolus masquerading as ST-elevation myocardial infarction.,” Reviews in Cardiovascular Medicine, vol. 12, no. 3, pp. 157–163, 2011. View at Publisher · View at Google Scholar · View at Scopus
  5. S. Vanni, G. Polidori, R. Vergara et al., “Prognostic Value of ECG Among Patients with Acute Pulmonary Embolism and Normal Blood Pressure,” American Journal of Medicine, vol. 122, no. 3, pp. 257–264, 2009. View at Publisher · View at Google Scholar · View at Scopus
  6. L. Pourafkari, S. Ghaffari, A. Tajlil, F. Akbarzadeh, F. Jamali, and N. D. Nader, “Clinical Significance of ST Elevation in Lead aVR in Acute Pulmonary Embolism,” Annals of Noninvasive Electrocardiology, vol. 22, no. 2, 2017. View at Publisher · View at Google Scholar · View at Scopus
  7. T. J. Falterman, J. A. Martinez, D. Daberkow, and L. D. Weiss, “Pulmonary embolism with st segment elevation in leads v1 to v4: Case report and review of the literature regarding electrocardiographic changes in acute pulmonary embolism,” The Journal of Emergency Medicine, vol. 21, no. 3, pp. 255–261, 2001. View at Publisher · View at Google Scholar · View at Scopus
  8. I. G. Livaditis, M. Paraschos, and K. Dimopoulos, “Massive pulmonary embolism with ST elevation in leads V1-V3 and successful thrombolysis with tenecteplase,” Heart, vol. 90, no. 7, article e41, 2004. View at Publisher · View at Google Scholar · View at Scopus
  9. J. F. Lin, Y. C. Li, and P. L. Yang, “A case of massive pulmonary embolism with ST elevation in leads V1-4,” Circulation, vol. 73, no. 6, pp. 1157–1159, 2009. View at Google Scholar
  10. H. R. Omar, “ST-segment elevation in V1-V4 in acute pulmonary embolism: a case presentation and review of literature,” European Heart Journal: Acute Cardiovascular Care, vol. 5, no. 8, pp. 579–586, 2016. View at Publisher · View at Google Scholar
  11. P. Kukla, W. F. McIntyre, K. Fijorek et al., “T-wave inversion in patients with acute pulmonary embolism: Prognostic value,” Heart & Lung: The Journal of Acute and Critical Care, vol. 44, no. 1, pp. 68–71, 2015. View at Publisher · View at Google Scholar · View at Scopus
  12. S. B. Smith, J. B. Geske, J. M. Maguire, N. A. Zane, R. E. Carter, and T. I. Morgenthaler, “Early anticoagulation is associated with reduced mortality for acute pulmonary embolism,” CHEST, vol. 137, no. 6, pp. 1382–1390, 2010. View at Publisher · View at Google Scholar · View at Scopus
  13. Y. M. Smulders, “Pathophysiology and treatment of haemodynamic instability in acute pulmonary embolism: the pivotal role of pulmonary vasoconstriction,” Cardiovascular Research, vol. 48, no. 1, pp. 23–33, 2000. View at Publisher · View at Google Scholar · View at Scopus
  14. J. T. Marcus, C. T.-J. Gan, J. J. M. Zwanenburg et al., “Interventricular mechanical asynchrony in pulmonary arterial hypertension: left-to-right delay in peak shortening is related to right ventricular overload and left ventricular underfilling,” Journal of the American College of Cardiology, vol. 51, no. 7, pp. 750–757, 2008. View at Publisher · View at Google Scholar · View at Scopus
  15. T. Yoshinaga, S. Ikeda, E. Nishimura et al., “Serial changes in negative T wave on electrocardiogram in acute pulmonary thromboembolism,” International Journal of Cardiology, vol. 72, no. 1, pp. 65–72, 1999. View at Publisher · View at Google Scholar · View at Scopus
  16. P. Pruszczyk, M. Szulc, G. Horszczaruk, H. Gurba, and M. Kobylecka, “Right ventricular infarction in a patient with acute pulmonary embolism and normal coronary arteries,” JAMA Internal Medicine, vol. 163, no. 9, pp. 1110-1111, 2003. View at Publisher · View at Google Scholar · View at Scopus
  17. Z.-Q. Zhan, C.-Q. Wang, K. C. Nikus et al., “Electrocardiogram Patterns during Hemodynamic Instability in Patients with Acute Pulmonary Embolism,” Annals of Noninvasive Electrocardiology, vol. 19, no. 6, pp. 543–551, 2014. View at Publisher · View at Google Scholar · View at Scopus
  18. G. Volpicelli, A. Lamorte, M. Tullio et al., “Point-of-care multiorgan ultrasonography for the evaluation of undifferentiated hypotension in the emergency department,” Intensive Care Medicine, vol. 39, no. 7, pp. 1290–1298, 2013. View at Publisher · View at Google Scholar · View at Scopus