{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T10:30:39Z","timestamp":1756463439320,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,6,15]],"date-time":"2021-06-15T00:00:00Z","timestamp":1623715200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2021,6,15]]},"abstract":"<jats:p>Electrocardiographic abnormalities in patients with massive pulmonary embolism are common and unspecific. An 80-year-old woman was admitted to our department with severe respiratory insufficiency and hemodynamic instability. Abnormal high-sensitivity cardiac troponin I and ST-segmental elevation in II, III, aVF, and V3\u2013V6 were present on admission. Segmental motion abnormalities of the left ventricular wall were not detectable in echocardiography. Instead, the presence of a right ventricular strain raised the suspicion of a lung artery embolization. The diagnosis was confirmed by a computed tomography of the chest, and a thrombolytic therapy with 100\u2009mg recombinant tissue plasminogen activator (rt-PA) was administered. Though respiratory and hemodynamic stability were established, electromechanical disassociation suddenly occurred 30 hours later and the patient died. Electrocardiographic changes mimicking a myocardial infarction may occur after a massive pulmonary embolism and constitute a diagnostic challenge for clinicians being active in the field of emergency medicine and intensive care.<\/jats:p>","DOI":"10.1155\/2021\/6616139","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T17:20:10Z","timestamp":1623864010000},"page":"1-4","source":"Crossref","is-referenced-by-count":4,"title":["Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1713-6759","authenticated-orcid":true,"given":"Maria","family":"Paparoupa","sequence":"first","affiliation":[{"name":"Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistr.52, Hamburg 20246, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Razaz","family":"Aldemyati","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistr.52, Hamburg 20246, Germany"},{"name":"Rabigh Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myrto","family":"Theodorakopoulou","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistr.52, Hamburg 20246, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"doi-asserted-by":"publisher","key":"1","DOI":"10.1097\/00063110-199609000-00012"},{"doi-asserted-by":"publisher","key":"2","DOI":"10.1097\/md.0000000000008430"},{"doi-asserted-by":"publisher","key":"3","DOI":"10.1186\/s12872-015-0091-4"},{"doi-asserted-by":"publisher","key":"4","DOI":"10.1016\/j.thromres.2013.01.034"},{"doi-asserted-by":"publisher","key":"5","DOI":"10.1111\/acem.12769"},{"doi-asserted-by":"publisher","key":"6","DOI":"10.1002\/clc.22742"},{"doi-asserted-by":"publisher","key":"7","DOI":"10.1053\/ajem.2001.27172"},{"doi-asserted-by":"publisher","key":"8","DOI":"10.1016\/s0033-0620(75)80016-8"},{"issue":"7","key":"9","first-page":"11038","article-title":"Acute pulmonary embolism with electrocardiographic changes mimicking acute coronary syndrome: a case report and literature review","volume":"8","author":"F. 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