open access

Vol 12, No 4 (2017)
Case Reports
Published online: 2017-09-19
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Pulmonary embolism or acute coronary syndrome — diagnostic difficulties

Aleksandra Bień, Małgorzata Krzciuk, Agnieszka Bojarska-Junak
DOI: 10.5603/FC.2017.0071
·
Folia Cardiologica 2017;12(4):386-389.

open access

Vol 12, No 4 (2017)
Case Reports
Published online: 2017-09-19

Abstract

Despite the availability of imaging and laboratory tests, pulmonary embolism remains a difficult diagnostic problem. The disease is associated with an increased risk of an early death and for this reason, it requires prompt treatment. There are some ECG changes that are typical for pulmonary embolism, but some of them need to be differentiated with other acute conditions, such as myocardial infarction. This case report presents a patient with symptoms suggesting acute coronary syndrome, finally diagnosed with pulmonary embolism.

Abstract

Despite the availability of imaging and laboratory tests, pulmonary embolism remains a difficult diagnostic problem. The disease is associated with an increased risk of an early death and for this reason, it requires prompt treatment. There are some ECG changes that are typical for pulmonary embolism, but some of them need to be differentiated with other acute conditions, such as myocardial infarction. This case report presents a patient with symptoms suggesting acute coronary syndrome, finally diagnosed with pulmonary embolism.

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Keywords

acute pulmonary embolism, acute coronary syndrome, fibrinolysis, anticoagulant therapy, embolectomy

About this article
Title

Pulmonary embolism or acute coronary syndrome — diagnostic difficulties

Journal

Folia Cardiologica

Issue

Vol 12, No 4 (2017)

Pages

386-389

Published online

2017-09-19

DOI

10.5603/FC.2017.0071

Bibliographic record

Folia Cardiologica 2017;12(4):386-389.

Keywords

acute pulmonary embolism
acute coronary syndrome
fibrinolysis
anticoagulant therapy
embolectomy

Authors

Aleksandra Bień
Małgorzata Krzciuk
Agnieszka Bojarska-Junak

References (7)
  1. Cohen AT, Agnelli G, Anderson FA, et al. VTE Impact Assessment Group in Europe (VITAE). Venous thromboembolism (VTE) in Europe. The number of VTE events and associated morbidity and mortality. Thromb Haemost. 2007; 98(4): 756–764.
  2. Stein PD, Henry JW. Prevalence of acute pulmonary embolism among patients in a general hospital and at autopsy. Chest. 1995; 108(4): 978–981.
  3. Ludwik B, Lewczuk J, Piszko P, et al. [Normal coronary angiogram in patient with diagnosis of acute coronary syndrome with ST segment elevation. Was it possible to recognise acute pulmonary embolism earlier?]. Kardiol Pol. 2006; 64(1): 68–71.
  4. Konstantinides SV, Torbicki A, Agnelli G, et al. Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2014; 35(43): 3033–0069, 3069a–3069k.
  5. Meneveau N, Séronde MF, Blonde MC, et al. Management of unsuccessful thrombolysis in acute massive pulmonary embolism. Chest. 2006; 129(4): 1043–1050.
  6. Daniel KR, Courtney DM, Kline JA. Assessment of cardiac stress from massive pulmonary embolism with 12-lead ECG. Chest. 2001; 120(2): 474–481.
  7. Mendis S, Thygesen K, Kuulasmaa K, et al. Writing group on behalf of the participating experts of the WHO consultation for revision of WHO definition of myocardial infarction. World Health Organization definition of myocardial infarction: 2008–09 revision. Int J Epidemiol. 2011; 40(1): 139–146.

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