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- Necla Özer, Hikmet Yorgun, Uğur Canpolat, Ahmet Hakan Ateş, and Serdar Aksöyek.
- Department of Cardiology, Hacettepe University, Ankara, Turkey.
- Med Princ Pract. 2011 Jan 1;20(6):577-80.
ObjectivesTo report a case with dynamic ST segment elevation suggestive of anteroseptal acute myocardial infarction (AMI) that proved to be bilateral pulmonary thromboembolism (PTE).Clinical Presentation And InterventionA 50-year-old woman with syncope was transferred to the emergency department. Findings from the admission electrocardiogram were suggestive of anteroseptal AMI; however, coronary angiography revealed that the patient had normal coronary arteries. On further evaluation, the patient was found to have massive bilateral PTE.ConclusionThis report emphasizes the role of evolving electrocardiographic changes in the diagnosis of PTE, particularly in patients with chest pain and ST segment elevation suggestive of acute coronary syndrome.Copyright © 2011 S. Karger AG, Basel.
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