Chest pain with ST-elevation in leads AVR, III, AVF, V1, V3R, V4R and V5R

Abstract

We mistakenly diagnosed a patient with pulmonary embolism as ST-elevation acute myocardial infarction. The case complained of chest pain with ST-elevation in leads AVR, III, AVF, V1, V3R, V4R and V5R. In addition, we also found ST- elevation AVR, III>ST- elevation AVF, QIII>QAVF and QV1. Multi-site pulmonary embolism can lead to type 2 myocardial infarction or special type of myocardial infarction with non-obstructive coronary arteries through multiple pathological mechanisms.

Keywords

• chest pain
• st-elevation
• pulmonary embolism
• avr
• iii
• avf
• v1
• v3r
• v4r and v5r
• stemi
• minoca