2002Harbin Yike Daxue xuebaoRequires access

ECG change of acute pulmonary embolism

Weijie Tan

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Abstract

Objective To investigate the ECG change of acute pulmonary embolism.Methods We analyzed 10 patients(male 6,female 4,aged 35 to 58,average 45.4)ECG who have been diagnosed as pulmonary embolism by pulmonary artery angiography.Results ①Sinus techycardia(2/10);②S in lead Ⅰ(6/10),Q in lead Ⅲ(7/10);③QRS axis 90° or indeterminate(2/10) which Qr in lead Ⅲ;④transient right bundle branch block(2/10);⑤T wave inversion in right chest leads(10/10);⑥clock wise rotation(2/10);⑦right ventricular hypertrophy(1/10).Conclusion The most characteristic ECG of this disorder is transient and dynamic changes.So we should constantly record the ECG in time.There is no significantly relevance between the changes of ECG and the severity of pulmonary embolism.Normal ECG can't exclude pulmonary embolism.

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Objective To investigate the ECG change of acute pulmonary embolism.Methods We analyzed 10 patients(male 6,female 4,aged 35 to 58,average 45.4)ECG who have been diagnosed as pulmonary embolism by pulmonary artery angiography.Results ①Sinus techycardia(2/10);②S in lead Ⅰ(6/10),Q in lead Ⅲ(7/10);③QRS axis 90° or indeterminate(2/10) which Qr in lead Ⅲ;④transient right bundle branch block(2/10);⑤T wave inversion in right chest leads(10/10);⑥clock wise rotation(2/10);⑦right ventricular hypertrophy(1/10).Conclusion The most characteristic ECG of this disorder is transient and dynamic changes.So we should constantly record the ECG in time.There is no significantly relevance between the changes of ECG and the severity of pulmonary embolism.Normal ECG can't exclude pulmonary embolism.

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Available abstract

Objective To investigate the ECG change of acute pulmonary embolism.Methods We analyzed 10 patients(male 6,female 4,aged 35 to 58,average 45.4)ECG who have been diagnosed as pulmonary embolism by pulmonary artery angiography.Results ①Sinus techycardia(2/10);②S in lead Ⅰ(6/10),Q in lead Ⅲ(7/10);③QRS axis 90° or indeterminate(2/10) which Qr in lead Ⅲ;④transient right bundle branch block(2/10);⑤T wave inversion in right chest leads(10/10);⑥clock wise rotation(2/10);⑦right ventricular hypertrophy(1/10).Conclusion The most characteristic ECG of this disorder is transient and dynamic changes.So we should constantly record the ECG in time.There is no significantly relevance between the changes of ECG and the severity of pulmonary embolism.Normal ECG can't exclude pulmonary embolism.

Key concepts: Medicine, Pulmonary embolism, Cardiology, Internal medicine, Right bundle branch block, Right ventricular hypertrophy, QRS complex, Pulmonary artery

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