Pulmonary Embolism: Difference between revisions
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[[Image:Pulm_embolism.jpg|thumb|ECG of a patiënt with pulmonary embolism]] | [[Image:Pulm_embolism.jpg|thumb|ECG of a patiënt with pulmonary embolism]] | ||
In case of a [[w:Pulmonary_embolism|pulmonary embolism]] several clinical features may be present:<cite>Rodger</cite> | In case of a [[w:Pulmonary_embolism|pulmonary embolism]] several clinical features may be present:<cite>Rodger</cite> | ||
* Sinustachycardia | * [[Sinustachycardia]] | ||
* Stress on the right ventricle: | * Stress on the right ventricle: | ||
**[[Chamber_Hypertrophy_and_Enlargment#Right_atrial_enlargement|right atrial dilatation]] | **[[Chamber_Hypertrophy_and_Enlargment#Right_atrial_enlargement|right atrial dilatation]] | ||
**Heartaxis is to the right | **[[Heartaxis]] is to the right | ||
**[[RBBB|Right bundlebranchblock]] | **[[RBBB|Right bundlebranchblock]] | ||
* Deep S in I | * Deep S in I | ||
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Pulmonary embolism cannot solely be diagnosed using an ECG, but it may be helpful. | Pulmonary embolism cannot solely be diagnosed using an ECG, but it may be helpful. | ||
==References== | |||
<biblio> | |||
#Rodger pmid=11018210 | |||
</biblio> | |||
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Revision as of 13:48, 23 July 2007
In case of a pulmonary embolism several clinical features may be present:[1]
- Sinustachycardia
- Stress on the right ventricle:
- right atrial dilatation
- Heartaxis is to the right
- Right bundlebranchblock
- Deep S in I
- Q and negative T in III
- T wave inversion anterior [2]
Pulmonary embolism cannot solely be diagnosed using an ECG, but it may be helpful.
References
- Rodger M, Makropoulos D, Turek M, Quevillon J, Raymond F, Rasuli P, and Wells PS. Diagnostic value of the electrocardiogram in suspected pulmonary embolism. Am J Cardiol. 2000 Oct 1;86(7):807-9, A10. DOI:10.1016/s0002-9149(00)01090-0 |
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