Acute Pulmonary Embolism Mimicking an Acute Myocardial Infarction : A Case Report

Author : O. M. Siregar, Y. Sarastri, Z. Safri, H. Hasan,
Upload Date : 19-04-2018

Background: Pulmonary Embolism is a rare case but catastrophic condition, often presenting with chest pain and a non-specific electrocardiograph sign. An accurate diagnosis and treatment are essential for outcome.

Case Presentation: We report a case of a 48-year-old woman presenting with chest pain. She was referred to the Haji Adam Malik General Hospital emergency room after 5 days of hospitalization with clinical suspicion of Inferior STEMI but the initial ECG showed S1Q3T3 sign, D dimer > 4000, Trop I 149 ng/L. Then, the patient underwent a CT-angiography and a thrombus was found at the right main pulmonary artery.

Conclusion: This case report focused on the importance of high suspicion of pulmonary embolism as a possible alternative diagnosis in the presence of chest pain and electrocardiographic myocardial isch­emic signs, eventhough the Troponin I was positive. Therefore, clinicians must always be aware of pulmonary embolism because clinical manifestation might resemble acute coronary syndrome.

KEYWORDS : Acute Pulmonary Embolism; Myocardial infarction; CT-angiography

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