Electrocardiographic findings in pulmonary embolism

Singapore Med J. 2015 Oct;56(10):533-7. doi: 10.11622/smedj.2015147.

Abstract

Pulmonary embolism (PE) poses a challenge to physicians, as it can be difficult to diagnose but results in significant mortality and morbidity in patients. Diagnosing PE requires an integrated approach using clinical findings, electrocardiography (ECG), blood investigations and imaging modalities. Abnormalities in ECG are common among patients with massive acute PE and can serve as a prognostic indicator. In this article, we describe the ECG presentations of two patients diagnosed with PE, and review the literature on the various types of ECG presentations and their role in predicting the prognosis of PE.

Keywords: ECG; diagnosis; management; prognosis; pulmonary embolism.

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / administration & dosage
  • Blood Pressure
  • Echocardiography
  • Electrocardiography / methods*
  • Female
  • Hemorrhage / complications
  • Humans
  • Hypertension / complications
  • Male
  • Middle Aged
  • Prognosis
  • Pulmonary Embolism / diagnosis*
  • Stroke / complications

Substances

  • Anticoagulants