Author/Editor     Goslar, Tomaž; Podbregar, Matej
Title     Acute ECG ST-segment elevation mimicking myocardial infarction in a patient with pulmonary embolism
Type     članek
Vol. and No.     Letnik 8
Publication year     2010
ISSN     1476-7120 - Cardiovascular ultrasound
Language     eng
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.
Keywords     myocardial infarction
pulmonary embolism
ECG
miokardni infarkt
pljučna embolija
EKG