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Updated: Jun 22, 2026
07:44
A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
[Diagnostic schelf: a case of pulmonary embolism with ST elevation]
H Brahic1, R Ravan, R Eschalier
1Service de cardiologie, centre hospitalier de Vichy, boulevard Denière, 03200 Vichy, France.
Annales De Cardiologie Et D'Angeiologie
|May 27, 2009
Summary
Pulmonary embolism can mimic myocardial infarction on ECGs, leading to misdiagnosis. Echocardiogram identified the correct diagnosis, enabling effective fibrinolytic treatment.
Area of Science:
- Cardiology
- Pulmonary Medicine
Background:
- Electrocardiogram (ECG) changes in pulmonary embolism (PE) can mimic acute myocardial infarction (MI).
- This diagnostic challenge can lead to invasive procedures and delayed treatment for the actual condition.
Observation:
- A patient presented with ECG findings suggestive of myocardial infarction.
- Initial diagnostic workup focused on coronary artery disease, including coronary angiography.
Findings:
- Coronary angiography revealed no significant blockages, ruling out myocardial infarction.
- Echocardiogram demonstrated findings consistent with pulmonary embolism.
- The patient received fibrinolytic treatment based on the echocardiogram results.
Implications:
- Highlights the importance of considering pulmonary embolism in patients with MI-like ECG changes.
- Demonstrates the utility of echocardiography in diagnosing challenging cases of PE.
- Emphasizes the potential for misdiagnosis and the need for comprehensive diagnostic approaches.
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