ECG Strip 12

 

ECG Strip 12 - pulmonary embolism
 

This is ECG of an obese patient (approximately 60 years of age) that suffers from shortness of breath last two years. However, the dyspnea is much worse last two days and occurs after only few meters of walking. She does not have chest pain, no cough and no leg swelling. There are negative T waves in chest leads, cardiac enzymes, proBNP and D-dimers are elevated. The previously mentioned facts make mean a very probable diagnosis of acute pulmonary embolism. CT angiography can not be executed due to machine failure; the patient is admitted to inpatient department and treated conservatively as pulmonary embolism. Ultrasound confirms deep vein thrombosis of a lower extremity and the embolism is confirmed by a lung scintigraphy.