Pulmonary Embolism

ECG of a patiënt with pulmonary embolism

Another example of an ECG of a patiënt with pulmonary embolism. Note the tachycardia and right axis.

An example of right ventricular hypertrophy (and right atrial enlargement) in a patient with chronic pulmonary hypertension due to peripheral embolisation.

In case of a pulmonary embolism several clinical features may be present:Rodger

• Sinus Tachycardia
• Stress on the right ventricle:
  • right atrial dilatation
  • Heartaxis is to the right
  • Right bundle branch block (RBBB)

"S1Q3T3"

• Deep S in I
• Q and negative T in III
• T wave inversion anterior Ferrari

Pulmonary embolism cannot solely be diagnosed using an ECG, but it may be helpful.

References

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1. Rodger pmid=11018210

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