Electrocardiographical case. Elderly woman with sudden onset of post-operative dyspnoea
1Department of Cardiology, National Heart Centre, Mistri Wing, Third Hospital Avenue, Singapore 168752. Ho_Kah_Leng@nhc.com.sg
Abstract:
A 70-year-old Chinese woman developed breathlessness, tachycardia and hypotension on the fourth day after total hip replacement. 12-lead electrocardiogram (ECG) showed sinus tachycardia with ST depression in I, II, V5 and V6. The ECG changes of sinus tachycardia along with a typical history is suggestive of pulmonary embolism. Diagnosis, treatment and the use of IVC filter for pulmonary embolism are discussed.
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