title: New onset S wave in pulmonary embolism: revisited (something old and something new).
abstract: We report a case of a young man who had a new onset S wave in lead 1 in his ECG with typical symptoms of acute onset of dyspoena 2 months after an episode of deep vein thrombosis, S wave disappeared 6 days after thrombolysis. We report this case as the clinical course was very typical plus we have reviewed the literature regarding diagnosis and risk stratification of pulmonary embolism for the student, or the casualty medical officer.
authors.affiliation: Department of Cardiology, Medical College and Hospital, Trivandrum, Kerala, India.
authors.forename: Prabha Nini
authors.initials: PN
authors.lastname: Gupta
authors.forename: Siju B
authors.initials: SB
authors.lastname: Pillai
authors.forename: Sajan Z
authors.initials: SZ
authors.lastname: Ahmad
authors.forename: Shifas M
authors.initials: SM
authors.lastname: Babu
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D013300:Streptokinase / Q000627:therapeutic use; D036542:Tomography, Spiral Computed
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase