Abstract

We present the case of a 49-year-old male who was referred from Emergency department with worsening breathlessness, chest tightness for last 24 hours. He had a background history of Asthma and Hypertension. Initial ECG revealed symmetric T wave inversions in anterior leads and found to have raised troponin levels. Patient was diagnosed and treated as NSTEMI. While waiting for his coronary angiogram he underwent echocardiogram whose findings were consistent with right sided impairment. Differential diagnosis of Pulmonary Embolism has been made and CT Pulmonary Angiogram done that confirmed diagnosis of Pulmonary Embolism. Early advice from the Respiratory team was sought and patient was treated with rivaroxaban. After a hospital stay, he made a remarkable recovery.

Keywords: Acute coronary syndrome; Pulmonary embolism; Rivaroxaban