Chest pain with ST-elevation in leads AVR, III, AVF, V₁, V_3R, V_4R and V_5R

ABSTRACT

We mistakenly diagnosed a patient with pulmonary embolism as ST-elevation acute myocardial infarction. The case complained of chest pain with ST-elevation in leads AVR, III, AVF, V₁, V_3R, V_4R and V_5R. In addition, we also found ST- elevation _{AVR, III}>ST- elevation _AVF, Q_III>Q_AVF and Q_V1. Multi-site pulmonary embolism can lead to type 2 myocardial infarction or special type of myocardial infarction with non-obstructive coronary arteries through multiple pathological mechanisms.

KEYWORDS:

• Chest pain
• ST-elevation
• pulmonary embolism
• AVR
• III
• AVF
• V1
• V3R
• V4R and V5R
• STEMI
• MINOCA

Acknowledgments

The study has been approved by the ethics committee of Liaocheng people’s hospital. The disclosure of medical records was orally approved by the patient himself. All authors have no conflict of interest. The work was supported by Shandong Province Traditional Chinese Medicine Science and Technology Development Plan Project (No. 2019-09 06).

Disclosure statement

No potential conflict of interest was reported by the author(s).

Supplementary material

Supplemental data for this article can be accessed online at https://doi.org/10.1080/10641963.2022.2153134

Additional information

Funding

This work was supported by the Shandong Province Traditional Chinese Medicine Science and Technology Development Plan Project [2019-09 06].