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Case Report: Diffuse T wave inversions as initial electrocardiographic evidence in acute pulmonary embolism

Case Report: Diffuse T wave inversions as initial electrocardiographic evidence in acute pulmonary embolism

F1000research 7: 738

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 1Q 3T 3 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.

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Accession: 065720764

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PMID: 30356445

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