Pulmonary Embolism

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]

ECG of a patiënt with pulmonary embolism

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

References

1. 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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