EKG in PE﻿

EKG in PE

8/3/2016

4 Comments

Case: 22F cc: chest pain, dyspnea
Dx: Pulmonary embolism

EKG changes in PE:

sinus tachycardia (44%)
complete or incomplete RBBB (18%, and inc mortality)
RAD (16%)
dominant R wave in V1
P pulmonale (95-peaked P in II >2.5)
persistent S wave in V6
RV strain pattern
- STD and/or TWI in inferior and anterior leads (II, III, aVF, V1, V2, V3)
S1Q3T3 (only in 20% of PE)

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EKG in PE﻿

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EKG in PE