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Acute pulmonary embolism as the cause of global T wave inversion and QT prolongation. A case report.

Abstract：

:A 57-year-old man without prior history of organic heart disease was admitted with a diagnosis of unstable angina because of chest pain and new electrocardiographic (ECG) changes of global T wave inversion and QT interval prolongation. Left and right heart catheterization with coronary angiography, pulmonary angiography, ventilation-perfusion scintigraphy, and echocardiography showed absence of coronary artery disease but unequivocally acute pulmonary embolism. Within days following anticoagulant therapy, the lengthened QT interval became normalized while the global T wave inversion persisted. A follow-up ECG 15 months later revealed complete resolution of the T wave inversion. The possible pathophysiologic mechanism of the ECG changes is discussed.

journal_name

J Electrocardiol

journal_title

Journal of electrocardiology

authors

Lui CY

doi

10.1016/0022-0736(93)90070-t

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

91-5

issue

1

eissn

0022-0736

issn

1532-8430

pii

0022-0736(93)90070-T

journal_volume

26

pub_type

杂志文章

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