{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T22:57:14Z","timestamp":1783119434595,"version":"3.54.6"},"reference-count":15,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Acute pulmonary embolism (APE) with ST-segment elevation and an upward T-wave is rare, and only a few cases have been reported to date. We herein present a case involving a man in his early 70s with an 8-hour history of dyspnea. Serial electrocardiography (ECG) demonstrated ST-segment elevation in leads V1 to V3 with an upward T-wave, laboratory tests revealed a high serum concentration of high-sensitivity cardiac troponin I, and signs of acute myocardial infarction were present. However, emergency coronary angiography revealed normal coronary arteries. A subsequent computed tomography scan of the pulmonary arteries showed findings consistent with APE. The patient\u2019s chest tightness was relieved after catheter-directed thrombolysis. Postoperative ECG showed that the ST-segment in leads V1 to V3 had fallen back and that the T-wave was inverted. The patient was discharged on rivaroxaban therapy. Clinically, the ECG findings of ST-segment elevation and an upward T-wave in APE can be easily misdiagnosed as acute myocardial infarction. Physicians should maintain clinical suspicion through risk stratification to identify APE.<\/jats:p>","DOI":"10.1177\/03000605231197063","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T16:32:02Z","timestamp":1694104322000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Acute pulmonary embolism presenting with electrocardiographic signs and serum biomarkers of ST-segment elevation myocardial infarction: a case report"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8351-9187","authenticated-orcid":false,"given":"Xiao-lin","family":"Yue","sequence":"first","affiliation":[{"name":"Qilu Medical College, Shandong University, Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue-yun","family":"Shi","sequence":"additional","affiliation":[{"name":"Qilu Medical College, Shandong University, Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Emergency, Qilu Hospital, Shandong University, Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9065-8575","authenticated-orcid":false,"given":"Rui-jian","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Emergency, Qilu Hospital, Shandong University, Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,7]]},"reference":[{"key":"bibr1-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2018.04.017"},{"key":"bibr2-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2015.11.042"},{"key":"bibr3-03000605231197063","doi-asserted-by":"publisher","DOI":"10.3400\/avd.ra.17-00038"},{"key":"bibr4-03000605231197063","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v6.i10.1067"},{"key":"bibr5-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2014.07.029"},{"key":"bibr6-03000605231197063","first-page":"297","volume":"30","author":"Zheng X.","year":"2021","journal-title":"J Clin Electrocardiol"},{"key":"bibr7-03000605231197063","first-page":"326","volume":"47","author":"Wu Q","year":"2019","journal-title":"Zhonghua Xin Xue Guan Bing Za Zhi"},{"key":"bibr8-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226063"},{"key":"bibr9-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.10.017"},{"key":"bibr10-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-08-0474"},{"key":"bibr11-03000605231197063","doi-asserted-by":"publisher","DOI":"10.5811\/cpcem.2020.7.48421"},{"key":"bibr12-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.11.046"},{"key":"bibr13-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1177\/1708538118791917"},{"key":"bibr14-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelectrocard.2017.10.013"},{"key":"bibr15-03000605231197063","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605231197063","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605231197063","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605231197063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:48:43Z","timestamp":1777459723000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605231197063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":15,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/03000605231197063"],"URL":"https:\/\/doi.org\/10.1177\/03000605231197063","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]},"article-number":"03000605231197063"}}