Pulmonary embolism mimicking acute anterior myocardial infarction: Diagnostic trap

被引：2

作者：

Yameogo, N. V. ^{[1
]}

Mbaye, A. ^{[1
]}

Kagambega, L. J. ^{[1
]}

Diack, B. ^{[1
]}

Pessinaba, S. ^{[1
]}

Hakim, R. ^{[1
]}

Ndiaye, M. B. ^{[1
]}

Bodian, M. ^{[1
]}

Diao, M. ^{[1
]}

Sow, D. Diagne ^{[1
]}

Kane, M. ^{[1
]}

Kane, A. ^{[1
]}

机构：

[1] Hop Gen Grand Yoff, Serv Cardiol, Dakar, Senegal

来源：

ANNALES DE CARDIOLOGIE ET D ANGEIOLOGIE | 2011年 / 60卷 / 03期

关键词：

Pulmonary embolism; Myocardial infarction; ECG; ST elevation; PROBABILITY;

D O I：

10.1016/j.ancard.2010.12.011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pulmonary embolism remains the major malingerer of acute chest disease. The clinical and electrocardiographic manifestations may deviate to a diagnosis of myocardial infarction. We report a case of bilateral pulmonary embolism in a patient of 50 years. The electrocardiogram showed ST elevation in anteroseptal and lateral leads. The diagnosis of acute myocardial infarction was selected and a fibrinolysis achieved. Getting out under beta-blocker therapy, antiplatelet, statin and angiotensin-converting enzyme inhibitors after 10 days hospitalization, the patient was readmitted one month later for a massive pulmonary embolism. Coronary angiography performed after the second hospitalization was normal. (C) 2010 Elsevier Masson SAS. All rights reserved.

引用

页码：169 / 172

页数：4

共 9 条

[1] A POPULATION-BASED PERSPECTIVE OF THE HOSPITAL INCIDENCE AND CASE-FATALITY RATES OF DEEP-VEIN THROMBOSIS AND PULMONARY-EMBOLISM - THE WORCESTER DVT STUDY [J].