PMID- 25414218
OWN - NLM
STAT- MEDLINE
DCOM- 20150721
LR  - 20181113
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2014
DP  - 2014 Nov 20
TI  - 'STEMI-like' acute pulmonary embolism, an unusual presentation.
LID - 10.1136/bcr-2014-206517 [doi]
LID - bcr2014206517
AB  - We present the case of a 65-year-old man with an atypical presentation of 
      pulmonary embolism (PE) as ST elevation myocardial infarction (STEMI) with high 
      troponin. He presented with acute exertional dyspnoea without chest pain. Since 
      the initial ECG showed ST elevation anteroseptal (V1-V4) with concomitant deep Q 
      waves, a delayed STEMI with probable left ventricular aneurysm was the working 
      diagnosis and was treated accordingly. Nevertheless, his coronary angiography was 
      normal and it was then that PE was suspected. D-dimer was found to be elevated 
      and CT pulmonary angiography confirmed bilateral PE with a large thrombus within 
      the right main pulmonary artery. The patient made good clinical recovery and his 
      ST elevation resolved with anticoagulation. The source was found to be a deep 
      vein thrombosis in his right leg. The treatment was not compromised by the 
      delayed diagnosis as he received timely anticoagulation as part of STEMI 
      management.
CI  - 2014 BMJ Publishing Group Ltd.
FAU - Abdalla, Abuelmagd
AU  - Abdalla A
AD  - Midland Regional Tullamore, Tullamore, Ireland.
FAU - Kelly, Frank
AU  - Kelly F
AD  - Midland Regional Tullamore, Tullamore, Ireland.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20141120
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
RN  - 0 (Anticoagulants)
RN  - 0 (Biomarkers)
RN  - 0 (Fibrin Fibrinogen Degradation Products)
RN  - 0 (fibrin fragment D)
SB  - IM
MH  - Acute Disease
MH  - Aged
MH  - Angiography/*methods
MH  - Anticoagulants/*therapeutic use
MH  - Biomarkers/blood
MH  - Diagnosis, Differential
MH  - *Electrocardiography
MH  - Fibrin Fibrinogen Degradation Products/*metabolism
MH  - Humans
MH  - Male
MH  - Myocardial Infarction/diagnosis
MH  - Protein Multimerization
MH  - Pulmonary Artery/*diagnostic imaging
MH  - Pulmonary Embolism/blood/*diagnosis/drug therapy
PMC - PMC4244333
EDAT- 2014/11/22 06:00
MHDA- 2015/07/22 06:00
PMCR- 2016/11/20
CRDT- 2014/11/22 06:00
PHST- 2014/11/22 06:00 [entrez]
PHST- 2014/11/22 06:00 [pubmed]
PHST- 2015/07/22 06:00 [medline]
PHST- 2016/11/20 00:00 [pmc-release]
AID - bcr-2014-206517 [pii]
AID - 10.1136/bcr-2014-206517 [doi]
PST - epublish
SO  - BMJ Case Rep. 2014 Nov 20;2014:bcr2014206517. doi: 10.1136/bcr-2014-206517.