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Cases
Syncope and Hypotension
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Case
A 48-year-old patient presents to the hospital with syncope and
hypotension.
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Scroll
down for Hint and Answer
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***** HINT *****
Note the S wave in lead I and the Q wave in lead III.
***** ANSWER *****
Acute pulmonary embolism: Sinus tachycardia, the most common ECG abnormality,
and the classic S1Q3T3 pattern are observed. Evidence of right heart
strain, a right bundle branch block (RBBB) pattern, and axis deviation is
also present. |
Contributed by:
Andrew A. Dahl, MD
Vassar Brothers Hospital
eMedicine Editor:
John Longano, MD, FACEP
Source
http://emedicine.com
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