How do I manage a patient with suspected acute pulmonary embolism?

摘要

artery. During percutaneous coronaryintervention, when there was balloon inflation,he had identical head pain with ECGchanges but with no chest discomfort.After coronary intervention he was free ofthe pain on exertion.About half of patients with a subarachnoidhaemorrhage have ECG abnormalities.2Failure to recognise that ECG abnormalitiesare common in patients with subarachnoidhaemorrhage can lead to themreceiving inappropriate cardiac treatmentand delayed investigation for subarachnoidhaemorrhage. In the case I describe, thelocalisation of the pain resulted in initialmisdiagnosis of cardiac pain as subarachnoidhaemorrhage.