title: Pulmonary embolism mimicking left-ventricular hypertrophy on ECG.
abstract: Patients with pulmonary embolism (PE) can show changes on the ECG. Here, we report the case of a 48-year-old man who initially presented with calf discomfort and swelling. He was discharged with no anticoagulation after a negative complex duplex venous ultrasonography for deep vein thrombosis (DVT). He presented 4 days later with shortness of breath and pleuritic chest pain. Multiple pulmonary emboli were found on CT pulmonary angiogram. His ECGs showed left-ventricular strain which is unusual for PE. He was anticoagulated and discharged. Despite presenting 2 days later with PE-related complications, he eventually recovered well.
authors.affiliation: Department of General Surgery, Airedale NHS Foundation Trust, Keighley, UK. alantanserseng@gmail.com
authors.forename: Alan
authors.initials: A
authors.lastname: Tan
authors.forename: Joseph
authors.initials: J
authors.lastname: Yikona
mesh_terms: D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis*