title: [Pulmonary embolism mimicking acute anterior myocardial infarction: diagnostic trap].
abstract: Pulmonary embolism remains the major malingerer of acute chest disease. The clinical and electrocardiographic manifestations may deviate to a diagnosis of myocardial infarction. We report a case of bilateral pulmonary embolism in a patient of 50 years. The electrocardiogram showed ST elevation in anteroseptal and lateral leads. The diagnosis of acute myocardial infarction was selected and a fibrinolysis achieved. Getting out under beta-blocker therapy, antiplatelet, statin and angiotensin-converting enzyme inhibitors after 10 days hospitalization, the patient was readmitted one month later for a massive pulmonary embolism. Coronary angiography performed after the second hospitalization was normal.
authors.affiliation: Service de cardiologie, hôpital général de Grand Yoff, Dakar, Sénégal. drnova@hotmail.fr
authors.forename: N V
authors.initials: NV
authors.lastname: Yaméogo
authors.forename: A
authors.initials: A
authors.lastname: Mbaye
authors.forename: L J
authors.initials: LJ
authors.lastname: Kagambèga
authors.forename: B
authors.initials: B
authors.lastname: Diack
authors.forename: S
authors.initials: S
authors.lastname: Pessinaba
authors.forename: R
authors.initials: R
authors.lastname: Hakim
authors.forename: M B
authors.initials: MB
authors.lastname: Ndiaye
authors.forename: M
authors.initials: M
authors.lastname: Bodian
authors.forename: M
authors.initials: M
authors.lastname: Diao
authors.forename: D Diagne
authors.initials: DD
authors.lastname: Sow
authors.forename: M
authors.initials: M
authors.lastname: Kane
authors.forename: A
authors.initials: A
authors.lastname: Kane
mesh_terms: D000074:Acenocoumarol / Q000627:therapeutic use; D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000188:drug therapy; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy; D000925:Anticoagulants / Q000627:therapeutic use; D017023:Coronary Angiography; D003951:Diagnostic Errors; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D017984:Enoxaparin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy; D012008:Recurrence; D012815:Signal Processing, Computer-Assisted; D013300:Streptokinase / Q000627:therapeutic use; D015912:Thrombolytic Therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; D013300:Streptokinase; D000074:Acenocoumarol