case_images: PMC4614616_01
case_images: Electrocardiogram of patient at the time of admission
case_images: emerg-2-46-g001.jpg
case_images: PMC4614616_01_emerg-2-46-g001.jpg
case_images: F1
case_images: ED, he was so agitated with 28/min respiratory rate, 68/min pulse rate, 85/65 mmHg blood pressure, 88% oxygen saturation in room air, and 37 C axillary temperature. Electrocardiogram (ECG) showed frank bradycardia that not matches with other vital signs (Figure1).
case_images: Pulmonary computed tomography angiography of the patient
case_images: emerg-2-46-g002.jpg
case_images: PMC4614616_01_emerg-2-46-g002.jpg
case_images: F2
case_images: RUSH examination showed weak heart ventricles contractibility, right ventricular (RV) strain, and a clot in the apex of RV; hence, pulmonary CT angiography of the chest was immediately performed (Figure 2).