Egini Ogechukwu, Dufresne Alix, Khalid Mazin, Egini Chinedu, Jaffe Eric
Department of Medicine, Interfaith Medical Center, Brooklyn, NY, 11213, USA.
Division of Cardiology, Interfaith Medical Center, Brooklyn, NY, 11213, USA.
F1000Res. 2018 Jun 13;7:738. doi: 10.12688/f1000research.14927.2. eCollection 2018.
Acute pulmonary embolism (PE) is a life-threatening condition and is typically diagnosed by a combination of symptoms, clinical signs and imaging. Electrocardiogram may be helpful in diagnosis, and the most widely described pattern of occurrence is the so-called S Q T pattern. Here, we describe the case of an African-American male who presented with typical chest pain, diffuse T wave inversions with serial troponin elevation. There was initial concern for Wellen's syndrome but was finally diagnosed as acute PE. This case underscores the necessity of vigilance and a lower threshold for PE work up even in patients presenting as acute coronary syndrome.
急性肺栓塞（PE）是一种危及生命的疾病，通常通过症状、临床体征和影像学检查相结合来诊断。心电图可能有助于诊断，最广泛描述的发生模式是所谓的SQT模式。在此，我们描述了一名非裔美国男性患者的病例，该患者表现为典型胸痛、弥漫性T波倒置伴肌钙蛋白水平持续升高。最初怀疑为Wellens综合征，但最终诊断为急性肺栓塞。该病例强调了即使在表现为急性冠状动脉综合征的患者中，也需要保持警惕并降低进行肺栓塞检查的阈值。
