The value of ECG parameters in estimating myocardial injury and establishing prognosis in patients with acute pulmonary embolism.

Background: The electrocardiogram (ECG) is characterised by little sensitivity and specificity in the diagnostic evaluation of acute pulmonary embolism (APE).

Aim: To assess the significance of ECG changes in predicting myocardial injury and prognosis in patients with APE.

Methods: The study group consisted of 225 patients (137 women and 88 men), mean age: 66.

How often pulmonary embolism mimics acute coronary syndrome?

Background: The clinical picture of acute pulmonary embolism (APE) is often uncharacteristic and may mimic acute coronary syndrome (ACS) or lung diseases, leading to misdiagnosis. In 50% of patients, APE is accompanied by chest pain and in 30-50% of the patients markers of myocardial injury are elevated.

Aim: To perform a retrospective assessment of how often clinical manifestations and investigations (ECG findings and elevated markers of myocardial injury) in patients with APE may be suggestive of ACS.

[Treprostinil therapy for distal chronic thromboembolic pulmonary hypertension].

We present a case of a 77-year-old female with distal chronic thromboembolic pulmonary hypertension. Diagnostic and therapeutic difficulties are discussed. Clinical and haemodynamic benefits resulting from treprostinil therapy added to continuous anticoagulation are shown.