case_images: PMC6350422_01
case_images: Twelve lead electrocardiogram showing the anterior precordial ST depression, S1Q3T3 pattern, ST segment depression in inferior leads and R/S in V6 <1
case_images: ACA-22-89-g001.jpg
case_images: PMC6350422_01_ACA-22-89-g001.jpg
case_images: F1
case_images: She was a nonsmoker and had no previous history of hypertension, diabetes, or coronary artery disease or use of any medications; a 12 lead ECG done outside revealed T-wave inversion in anterior precordial leads [Figure 1] and elevated Troponin T levels (0.33 ng/ml, upper limit of normal 0.01 ng/ml).
case_images: Echocardiography demonstrating tricuspid regurgitation and an estimated RV systolic pressure of approximately 80 mmHg.
case_images: ACA-22-89-g002.jpg
case_images: PMC6350422_01_ACA-22-89-g002.jpg
case_images: F2
case_images: There was moderate tricuspid regurgitation (TR) and an estimated RV systolic pressure of 90 mmHg [Figure 2].
case_images: The 64-slice spiral computed tomography image demonstrating thrombotic obstruction of segmental and subsegmental left and right branch pulmonary arteries
case_images: ACA-22-89-g003.jpg
case_images: PMC6350422_01_ACA-22-89-g003.jpg
case_images: F3
case_images: A 64-slice spiral computed tomography (CT) scan was performed which revealed submassive PE and thrombotic obstruction of segmental and subsegmental left and right branch pulmonary arteries, confirming the diagnosis of acute PE [Figure 3].