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Electrocardiographic Changes in a Patient With Pulmonary Embolism and Septic Shock

  • Pavlidis, Antonios N. (Department of Cardiology, Asklepeion General Hospital) ;
  • Poulimenos, Leonidas E. (Department of Cardiology, Asklepeion General Hospital) ;
  • Giannakopoulos, Antreas K. (Department of Cardiology, Asklepeion General Hospital) ;
  • Tsoukas, Athanasios (Department of Cardiology, Asklepeion General Hospital) ;
  • Kallistratos, Manolis S. (Department of Cardiology, Asklepeion General Hospital) ;
  • Manolis, Athanasios J. (Department of Cardiology, Asklepeion General Hospital)
  • 발행 : 2011.11.30

초록

Various electrocardiography (ECG) abnormalities have been reported in patients who present with pulmonary embolism (PE). Severe sepsis is also associated with ECG changes that may mimic ST elevation myocardial infarction. We report a case of an elderly patient with PE and septic shock associated with striking ECG changes.

키워드

참고문헌

  1. Ryu HM, Lee JH, Kwon YS, et al. Electrocardiography patterns and the role of the electrocardiography score for risk stratification in acute pulmonary embolism. Korean Circ J 2010;40:499-506. https://doi.org/10.4070/kcj.2010.40.10.499
  2. Goslar T, Podbregar M. Acute ECG ST-segment elevation mimicking myocardial infarction in a patient with pulmonary embolism. Cardiovasc Ultrasound 2010;8:50. https://doi.org/10.1186/1476-7120-8-50
  3. Lin JF, Li YC, Yang PL. A case of massive pulmonary embolism with ST elevation in leads V1-4. Circ J 2009;73:1157-9. https://doi.org/10.1253/circj.CJ-08-0474
  4. Martinez JD, Babu RV, Sharma G. Escherichia coli septic shock masquerading as ST-segment elevation myocardial infarction. Postgrad Med 2009;121:102-5. https://doi.org/10.3810/pgm.2009.03.1981
  5. Terradellas JB, Bellot JF, Sarís AB, Gil CL, Torrallardona AT, Garriga JR. Acute and transient ST segment elevation during bacterial shock in seven patients without apparent heart disease. Chest 1982;81:444-8. https://doi.org/10.1378/chest.81.4.444

피인용 문헌

  1. Point-of-care transthoracic echocardiography vol.21, pp.4, 2011, https://doi.org/10.7861/clinmed.let.21.4.5