Electrocardiographical case. Elderly woman with sudden onset of post-operative dyspnoea.
A 70-year-old Chinese woman developed breathlessness, tachycardia and hypotension on the fourth day after total hip replacement. 12-lead electrocardiogram (ECG) showed sinus tachycardia with ST depression in I, II, V5 and V6. The ECG changes of sinus tachycardia along with a typical history is suggestive of pulmonary embolism. Diagnosis, treatment and the use of IVC filter for pulmonary embolism are discussed.
Ho
K L
KL
Department of Cardiology, National Heart Centre, Mistri Wing, Third Hospital Avenue, Singapore 168752. Ho_Kah_Leng@nhc.com.sg
Teo
W S
WS
D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D004417:Dyspnea / Q000175:diagnosis*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D011655:Pulmonary Embolism / Q000175:diagnosis*