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Emergency Medicine Journal 2006;23:e02; doi:10.1136/emj.2003.011197
© 2006 BMJ Publishing Group Ltd and the College of Emergency Medicine.

CASE REPORT

How ECG can cause confusion in pulmonary embolism and how echocardiogram can help

U K Prasad, K E Berkin

Department of Cardiology, St. James’s University Hospital, Leeds, UK

Correspondence to:
Correspondence to:
Dr U K Prasad
Specialist Registrar in Cardiology, York District Hospital, York YO31 8HE, UK; ushkp25{at}yahoo.com

ABSTRACT

A case of pulmonary embolism in which the diagnosis was aided by transthorasic echocardiography is described. Echocardiography may be helpful in emergency presentations, as ECG changes can be neither sensitive nor specific for the diagnosis of acute massive pulmonary embolism.

Abbreviations: ECG, electrocardiogram; PE, pulmonary embolism; RV, right ventricle

Keywords: Collapse; echocardiogram; electrocardiogram; pulmonary embolism


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