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Massive pulmonary embolism causing large T-wave inversion and QT prolongation
János Tomcsányi1, Nóra Turi-Kováts1, András Wettstein1
1Cardiology Department, St. John of God Hospital, Budapest, Hungary.
Journal of Thoracic Disease
|December 23, 2017
Summary
Massive pulmonary embolism can cause temporary ECG changes like T-wave inversion and QT prolongation. This case highlights the electrocardiogram
Area of Science:
- Cardiology
- Pulmonary Medicine
- Electrocardiography
Background:
- Massive pulmonary embolism (PE) is a life-threatening condition.
- Electrocardiogram (ECG) findings in PE can be variable.
- Specific ECG changes like T-wave inversion and QT prolongation require further investigation.
Purpose of the Study:
- To report a case of massive pulmonary embolism.
- To describe transient ECG abnormalities, including T-wave inversion and QT prolongation.
- To discuss the underlying pathomechanism and clinical significance of these ECG changes in massive PE.
Main Methods:
- Case report presentation.
- Review of electrocardiogram (ECG) findings.
- Discussion of relevant pathophysiology and clinical implications.
Main Results:
- The patient presented with massive pulmonary embolism.
- Electrocardiogram (ECG) revealed transient T-wave inversion.
- Marked QT prolongation was observed on the ECG.
Conclusions:
- Transient T-wave inversion and QT prolongation can occur in massive pulmonary embolism.
- These ECG findings may have clinical significance.
- Understanding these changes aids in diagnosing and managing massive PE.
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