S1Q3T3 Pattern: Pulmonary Embolism
Report:
Sinus tachycardia 152/min
Normal axis +70o
S1Q3T3 (McGinn-White) pattern of acute cor pulmonale
Comment:
This patient had the full hand: predisposing thrombophlebitis, left pleuritic chest pain, dyspnÅa, shock, clear CXR, hypoxæmia on 15 L/min oxygen and the classical ECG shown. The lung scan showed 50% defect in the right lung and 30% in the left lung.
He improved rapidly on streptokinase infusion, with the âRV strain patternâ (T inversion V1-3) evolving, as expected, the next day (Fig 186a below).
186a. 187. 68 year old woman in coma
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