Korean Circ J.  2011 Nov;41(11):692-693. 10.4070/kcj.2011.41.11.692.

Electrocardiographic Changes in a Patient With Pulmonary Embolism and Septic Shock

Affiliations
  • 1Department of Cardiology, Asklepeion General Hospital, Athens, Greece. antonispav@yahoo.com
  • 2Emory University School of Medicine, Atlanta, USA.

Abstract

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.

Keyword

Pulmonary embolism; Electrocardiogram; Sepsis

MeSH Terms

Aged
Electrocardiography
Humans
Hydrazines
Myocardial Infarction
Pulmonary Embolism
Sepsis
Shock, Septic
Strikes, Employee
Hydrazines

Figure

  • Fig. 1

  • Fig. 2


Reference

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3. Lin JF, Li YC, Yang PL. A case of massive pulmonary embolism with ST elevation in leads V1-4. Circ J. 2009. 73:1157–1159.
4. Martinez JD, Babu RV, Sharma G. Escherichia coli septic shock masquerading as ST-segment elevation myocardial infarction. Postgrad Med. 2009. 121:102–105.
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. 81:444–448.
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