PMC6350422_01
Twelve lead electrocardiogram showing the anterior precordial ST depression, S1Q3T3 pattern, ST segment depression in inferior leads and R/S in V6 <1
ACA-22-89-g001.jpg
PMC6350422_01_ACA-22-89-g001.jpg
F1
She was a nonsmoker and had no previous history of hypertension, diabetes, or coronary artery disease or use of any medications; a 12 lead ECG done outside revealed T-wave inversion in anterior precordial leads [Figure 1] and elevated Troponin T levels (0.33 ng/ml, upper limit of normal 0.01 ng/ml).
Echocardiography demonstrating tricuspid regurgitation and an estimated RV systolic pressure of approximately 80 mmHg.
ACA-22-89-g002.jpg
PMC6350422_01_ACA-22-89-g002.jpg
F2
There was moderate tricuspid regurgitation (TR) and an estimated RV systolic pressure of 90 mmHg [Figure 2].
The 64-slice spiral computed tomography image demonstrating thrombotic obstruction of segmental and subsegmental left and right branch pulmonary arteries
ACA-22-89-g003.jpg
PMC6350422_01_ACA-22-89-g003.jpg
F3
A 64-slice spiral computed tomography (CT) scan was performed which revealed submassive PE and thrombotic obstruction of segmental and subsegmental left and right branch pulmonary arteries, confirming the diagnosis of acute PE [Figure 3].