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Acute Pulmonary Embolism Masquerading as Anteroseptal Myocardial Infarction

Worawut Roongsangmanoon MD*, Arthit Wongsoasup MD*, Nattapun Rattanajaruskul MD*, Theeranan Angkananard MD*

Affiliation : * Department of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok, Thailand

Pulmonary embolism (PE) is a potentially lethal condition. Prompt diagnosis of PE relies on high index of clinical suspicion. Despite multiple electrocardiographic findings described in association with PE, ST-segment elevation remains rare and represents a diagnostic challenge to differentiate it from acute myocardial infarction. The authors present a case of PE mimicking anteroseptal infarction on electrocardiography (ECG) which was successfully thrombolysed with streptokinase.

Keywords : Pulmonary embolism, Electrocardiography, Myocardial infarction


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