Pulmonary embolism mimicking acute myocardial infarction: a case report and review of literature

The diagnosis of pulmonary thromboembolism (PTE) with changes shown by electrocardiography (ECG) is a challenge in the clinical practice due to rare pathognomonic findings. We report the case of a 37-year old woman managed in out of hospital sitting for a chest pain. Electrocardiogram was suggestive...

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Bibliographic Details
Published in:	The Pan African medical journal Vol. 33; no. 275; p. 275
Main Authors:	Zelfani, Saida, Manai, Hela, Laabidi, Saoussen, Wahabi, Abir, Akeri, Sara, Daghfous, Mounir
Format:	Journal Article
Language:	English
Published:	Uganda African Field Epidemiology Network 2019 The African Field Epidemiology Network The Pan African Medical Journal
Subjects:	Adult Cardiomyopathy Cardiovascular disease Case Report Case reports Chest Pain - diagnosis Chest Pain - etiology Computed Tomography Angiography Coronary vessels Diagnosis, Differential Echocardiography Electrocardiography Embolisms Emergency medical care Etiology Family medical history Female Heart attacks Humans Ischemia Medical imaging myocardial infarction Myocardial Infarction - diagnosis Pain Patients Pulmonary Embolism - diagnosis Pulmonary embolisms pulmonary thromboembolism Thromboembolism Tunisia Myocardial infarction pulmonary thromboembolism electrocardiography
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Summary:	The diagnosis of pulmonary thromboembolism (PTE) with changes shown by electrocardiography (ECG) is a challenge in the clinical practice due to rare pathognomonic findings. We report the case of a 37-year old woman managed in out of hospital sitting for a chest pain. Electrocardiogram was suggestive of antero-septal acute myocardial infarction (AMI). Catheterization revealed non occlusive coronary disease. Transthoracic echocardiography showed an elevated pulmonary and right heart pressures. Computed tomography pulmonary angiography confirmed the diagnosis of bilateral pulmonary embolism. PTE with ECG changes should be considered in the differential diagnosis of AMI, particularly in young patients with chest pain and ST segment elevation suggestive of acute coronary syndrome.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Review-5 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1937-8688 1937-8688
DOI:	10.11604/pamj.2019.33.275.18517