Document Detail


ECG manifestations in submassive and massive pulmonary embolism. Report of 4 cases and review of literature.
MedLine Citation:
PMID:  23890684     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
ECG findings suggestive of right ventricular (RV) hemodynamic derangement, in the appropriate clinical setting, can lead to further diagnostic consideration and earlier institution of treatment, aiming to decrease the high morbidity and mortality associated with submassive and massive pulmonary embolism (PE). In this paper, we review 4 cases with chest computed tomography (CT) confirmed PE with their respective ECG findings. In all the cases patients had an RV strain pattern on ECG, although in different clinical scenarios, including one with an initial diagnosis of acute coronary syndrome (ACS). In one case, a transitory short PR interval was seen, a finding not previously reported, in the literature. The most common finding was T wave inversion (Twi) in the anterior leads.
Authors:
Eduardo Abarca; Ajay Baddi; Rossana Manrique
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-7-25
Journal Detail:
Title:  Journal of electrocardiology     Volume:  -     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-7-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013.
Affiliation:
Department of Internal Medicine, Louis A. Weiss Memorial Hospital, Chicago University Hospitals, Internal Medicine PGY-2, Chicago IL. Electronic address: eabarca@weisshospital.com.
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