- Patient admitted for NSTEMI with mild troponin rise and nonspecific ECG changes. During morning of cath patient had a syncopal episode and required nasal prong oxygen. ECG showed sinus tachycardia. Chest X-ray was clear. Cath as follows:
- Note displaced LAD on cranial views which prompted interventionalist to suspect RV overload. CTPA was arranged which diagnosed acute pulmonary embolism. Echo below shows dilated and dysfunctional right ventricle.
Parasternal Long Axis
Apical 4 Chamber
Case provided by Dr. Diamantouros