Syncope with QT interval prolongation and T-wave inversion: pulmonary embolism.
The patient presented with syncope, without chest pain and dyspnea. There was no peripheral edema or nervous system signs. The electrocardiogram (ECG) showed QT-interval prolongation with T-wave inversion in anterior and inferior leads. T-wave inversion in the right-sided precordial leads should prompt consideration of right ventricular overload. The patient underwent computed tomography of the chest that demonstrated pulmonary embolism. Ultrasonography of the veins of the lower limbs revealed an isolated calf vein thrombosis.
Department of Cardiology, Aerospace Center Hospital, 15 Yuquan Road, Haidian District, Beijing 100049, PR China.
Yun-Tao
YT
Zhao
Department of Cardiology, Aerospace Center Hospital, 15 Yuquan Road, Haidian District, Beijing 100049, PR China.
Lei
L
Wang
Department of Cardiology, Aerospace Center Hospital, 15 Yuquan Road, Haidian District, Beijing 100049, PR China. Electronic address: raas@hsc.pku.edu.cn.
Bin
B
Wang
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D004562:Electrocardiography; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply / Q000000981:diagnostic imaging; D008133:Long QT Syndrome / Q000175:diagnosis*; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy; D013575:Syncope / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000000981:diagnostic imaging; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin