Acute ECG ST-segment elevation mimicking myocardial infarction in a patient with pulmonary embolismReport as inadecuate




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Cardiovascular Ultrasound

, 8:50

First Online: 24 November 2010Received: 27 September 2010Accepted: 24 November 2010

Abstract

Pulmonary embolism is a common cardiovascular emergency, but it is still often misdiagnosed due to its unspecific clinical symptoms. Elevated troponin concentrations are associated with greater morbidity and mortality in patients with pulmonary embolism. Right ventricular ischemia due to increased right ventricular afterload is believed to be underlying mechanism of elevated troponin values in acute pulmonary embolism, but a paradoxical coronary artery embolism through opened intra-artrial communication is another possible explanation as shown in our case report.

Electronic supplementary materialThe online version of this article doi:10.1186-1476-7120-8-50 contains supplementary material, which is available to authorized users.

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Author: Tomaž Goslar - Matej Podbregar

Source: https://link.springer.com/







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