Emren Sadık Volkan, Arıkan Mehmet Erdinç, Senöz Oktay, Varış Eser, Akan Erol
Department of Cardiology, Katip Çelebi University Faculty of Medicine, İzmir, Turkey.
Turk Kardiyol Dern Ars. 2014 Apr;42(3):290-3. doi: 10.5543/tkda.2014.77392.
Pulmonary embolism (PE) is a potentially life-threatening emergency that is sometimes difficult to diagnose due to nonspecific symptoms and findings. A 69-year-old male was admitted to our hospital with new-onset chest pain and sweating. The electrocardiogram (ECG) revealed sinus rhythm with ST elevations in the inferior leads. His angiogram showed noncritical coronary artery disease with a few plaques. Right heart catheterization was made, which revealed an elevated pulmonary artery pressure of 45/23 mmHg. A pulmonary angiogram was then performed, at first from the pulmonary trunk and then the right pulmonary artery, which showed occlusion of the pulmonary artery to the right lower lobe. This report emphasizes that acute PE should be suspected in every patient with ST elevation myocardial infarction and normal coronary arteries. ST changes may be in the inferior as well as the anterior leads.
肺栓塞（PE）是一种潜在的危及生命的急症，有时由于症状和检查结果不具特异性而难以诊断。一名69岁男性因新发胸痛和出汗入住我院。心电图（ECG）显示窦性心律，下壁导联ST段抬高。他的血管造影显示非临界冠状动脉疾病伴少量斑块。进行了右心导管检查，结果显示肺动脉压升高至45/23 mmHg。随后进行了肺动脉造影，首先从肺动脉主干开始，然后是右肺动脉，结果显示右下叶肺动脉闭塞。本报告强调，对于每一位ST段抬高型心肌梗死且冠状动脉正常的患者，都应怀疑急性肺栓塞。ST段改变可能出现在下壁导联以及前壁导联。
