| Title: |
Medical image of the week: ECG in PE |
| Authors: |
Shekell T; Hypes C; Raz Y |
| Source: |
Southwest Journal of Pulmonary and Critical Care, Vol 10, Iss 1, Pp 44-46 (2015) |
| Publisher Information: |
Arizona Thoracic Society |
| Publication Year: |
2015 |
| Collection: |
Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: |
PE; pulmonary embolism; electrocardiogram; ECG; EKG; S1Q3T3; CT scan; echocardiogram; ultrasound; duplex ultrasound; Medical emergencies. Critical care. Intensive care. First aid; RC86-88.9; Diseases of the respiratory system; RC705-779 |
| Description: |
No abstract available. Article truncated at 150 words. A 44-year-old male long distance truck driver with no known medical history presented with intermittent episodes of dyspnea for the past 24 hours, and an episode of exertional syncope just prior to hospitalization. The patient complained of sharp severe chest pain and reports several week history of right leg swelling. Initial Electrocardiogram (ECG, Figure 1) shows sinus tachycardia and signs of right ventricular strain with an associated troponin elevation. CT pulmonary angiography confirmed bilateral, extensive pulmonary emboli (PE) (Figure 2A, arrow at left pulmonary artery embolus). An echocardiogram showed severe right ventricular systolic dysfunction (Figure 2B, arrow indicated RV). Duplex ultrasound of the right leg showed extensive, acute, non-occlusive thrombus (Figure 2C, arrow indicates clot failing to compress). The patient received an IVC filter due to substantial clot burden. A hypercoagulability workup was negative. The ECG is part of the typical evaluation for syncope, chest pain and shortness of breath . |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
http://www.swjpcc.com/imaging/2015/1/7/medical-image-of-the-week-ecg-in-pe.html; https://doaj.org/toc/2160-6773; https://doaj.org/article/f1ef797b66dd434782582eae1a62c944 |
| DOI: |
10.13175/swjpcc162-14 |
| Availability: |
https://doi.org/10.13175/swjpcc162-14; https://doaj.org/article/f1ef797b66dd434782582eae1a62c944 |
| Accession Number: |
edsbas.19749B60 |
| Database: |
BASE |