Saturday 3 March 2012

Acute pulmonary embolus

A 40 year old woman with pleuritic chest pain and breathlessness.



Acute pulmonary embolus

The following, often transient, changes may be seen in a large pulmonary embolus.

  • an S1Q3T3 pattern
    • a prominent S wave in lead I
    • a Q wave and inverted T wave in lead III
  • sinus tachycardia
  • T wave inversion in leads V1 - V3
  • Right Bundle Branch Block
  • low amplitude deflections