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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2001 June;160(3):97-9

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: Italian

Pulmonary embolism and ECG

Guglielmi V. 1, Lattaruli S. 2, Mastrangelo D. 3

1 Servizio di Pronto Soccorso, IRCCS «Saverio De Bellis» - Castellana Grotte (Bari); 2 Reparto di Terapia Intensiva e Rianimazione, IRCCS «Saverio De Bellis» - Castellana Grotte (Bari); 3 Servizio di Cardiologia, IRCCS «Saverio De Bellis» - Castellana Grotte (Bari)


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Background. When pulmonary embolism (PE) is suspected, the ECG is one of the first examinations to be performed.
Methods. An analysis is made of the most frequent ECG changes in 17 patients with pulmonary embolism hospitalized in our Institute in the last ten years.
Results. They are: sinus tachycardia, S1Q3 pattern, anterior subepicardial ischemic pattern (ASIP) and right bundle branch block.
Conclusions. A correlation between ASIP and severity of PE has not been found. The thromboembolism from lower limbs is the most frequent origin of PE that has confirmed its high livel of mortality.

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