ECG of Acute Pulmonary Embolism

Case 1. A 23-year old gentleman presented with history of chest pain and shortness of breath.

This was the ECG at the time of presentation.

What are the findings?

What is the diagnosis?

Answer:

ECG shows Sinus tachycardia and S1Q3T3 pattern.

S1Q3T3 pattern is a specific sign of acute pulmonary embolism.

CTPA confirmed the diagnosis.

Patient underwent thrombolysis with Tenecteplase successfully with resolution of symptoms.

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