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Updated: Oct 28, 2026

A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
Pulmonary embolism mimicking myocardial ischemia in an Emergency Department
Presentation:
A man in his seventies presented with sudden central chest pain radiating to both arms with diaphoresis. Observations, ECGs, and serial troponins were normal.
Diagnosis:
Targeted history revealed previous unilateral calf pain and recent long-haul travel. D-dimer was elevated and CT pulmonary angiography confirmed multiple segmental and sub segmental pulmonary emboli without right heart strain.
Treatment:
Therapeutic anticoagulation was commenced and later transitioned to apixaban for six months.
Discussion:
This case highlights the need for structured history taking and avoidance of diagnostic anchoring in emergency chest pain assessment.
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