A 70 y/o male with chest pain, dyspnea and hypotension.
What is your interpretation?
This Friday’s case answer is pulmonary thromboembolism
Common ECG abnormalities in patients with suspected P.E:
• Sinus tachycardia• S1Q3T3 sign• New-onset atrial fibrillation or flutter
• incomplete right bundle branch block
• right axis deviation
• T-wave inversion in leads V1 to V4
Some ECG findings that have been associated with an adverse prognosis in patients with acute PE:
• atrial arrhythmias
• right bundle branch block
• Q waves in the inferior leads III and aVF
• ST segment changes and T-wave inversions in the precordial leads.
