Pulmonary Embolism
Report:
Sinus tachycardia 122/min
Right axis deviation +110o
S1Q3T3 (McGinn-White) pattern
Late transition
Nonspecific T wave changes
Comment:
Obese young woman with unexplained BP fluctuations and this ECG does not inspire a long differential diagnosis.
The right precordial T wave inversion is not striking, but, as expected, became so the next day (Fig 30a below).
30a. Right precordial T inversion develops some time after the event and implies a large embolus. 31. 39 year old lady on sotalol therapy for atrial flutter, comatose after a VF arrest
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