A case of pulmonary thromboembolism with ST elevation and literature review

Abstract

Introduction: Electrocardiography (ECG) is an auxiliary test for differential diagnosis for Pulmonary Embolism (PTE). However, as its specificity is low, it is more often used for differential diagnosis. Although there are some changes in ECG in PTE, ST elevation is not a finding we expect to see. With this case report, we aimed to draw attention to the issue with the diagnosis of PTE in a patient with ST elevation in ECG. Case Report: Our 52-year-old male patient was brought to the emergency room with a convulsion complaint after chest and back pain. During his examination in the emergency service, he went into convulsion he woke up spontaneously without a postictal period. After that he had a chest pain. V1-2-3-4 ST elevation was detected in the patient's ECG. Coronary CT angio was performed due to normal EEG and Brain CT. Coronary vessels were found normal in coronal CT angioma. However, the patient with embolism in the pulmonary vessels entering the cross-sectional area was treated with the diagnosis of PTE. As a result, ST elevation may be a finding of PTE, although it is rare.