A diagnostic pitfall: angina pectoris and intermittent left bundle branch block in a 68-year-old woman with pulmonary embolism — one year follow-up. A case report

Abstract

In the present communication, a case of a 68 year-old woman consulted at a cardiology service due to angina pectoris is reported. The electrocardiogram (ECG) showed intermittent left bundle branch block. Transthoracic echocardiography revealed signs of pulmonary embolism. The diagnosis was confirmed by computed tomography angiography. The presented case highlights the role of echocardiography in the differential diagnosis of anginal pain and shows that making a correct diagnosis based on ECG may sometimes be challenging.