Difference between revisions of "Pulmonary Embolism"

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[[Image:Pulm_embolism.jpg|thumb|ECG of a patiënt with pulmonary embolism]]
 
[[Image:pulm_embolism_ecg2.jpg|thumb|Another example of an ECG of a patiënt with pulmonary embolism. Note the tachycardia and right axis.]]
 
[[File:E000004.jpg|thumb|right|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 [[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>  
 
* [[Sinus Tachycardia]]
 
* [[Sinus Tachycardia]]
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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.
 +
 +
<gallery>
 +
Image:Pulm_embolism.jpg|ECG of a patiënt with pulmonary embolism
 +
Image:pulm_embolism_ecg2.jpg|Another example of an ECG of a patiënt with pulmonary embolism. Note the tachycardia and right axis.
 +
File:E000004.jpg|An example of right ventricular hypertrophy (and right atrial enlargement) in a patient with chronic pulmonary hypertension due to peripheral embolisation.
 +
File:E0003193.png|A 12 lead ECG of a patient with pulmonary embolism
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</gallery>
 
==References==
 
==References==
 
<biblio>
 
<biblio>
 
#Rodger pmid=11018210
 
#Rodger pmid=11018210
 
</biblio>
 
</biblio>

Latest revision as of 06:11, 19 December 2012

In case of a pulmonary embolism several clinical features may be present:[1]

"S1Q3T3"

  • 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

  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 | PubMed ID:11018210 | HubMed [Rodger]