ECG Strip 19

 

ECG Strip 19 - pulmonary embolism
 

A patient comes to the outpatient department with painful and swollen lower extremity. He also complains about one week lasting shortness of breath. Ultrasound confirms deep vein thrombosis. ECG shows slight sinus tachycardia, deep Q in III, negative T in III and negative T waves in chest leads. This is highly suspicious of an acute pulmonary embolism. The patient is hospitalized and further examined; the CT angiography confirms a massive acute pulmonary embolism.