IT'S IN THE DIFFERENTIAL: MASSIVE PULMONARY EMBOLISM PRESENTING AS ANTERIOR STEMI

The ECG in acute pulmonary embolism (PE) can simulate that of STEMI A 69-year old woman presented with chest pressure and a prehospital ECG showing anterior ST elevation. Repeat ECG also suggested anterior STEMI (fig. A). The patient was hypotensive (86/61 mmHg) and bradycardic (pulse 44/min). She