Pulmonary Embolism
The classical ECG signs of acute pulmonary embolism are SIQIIITIII, which are mnemonics representing deep S wave in lead I, pathological Q wave in lead III, and inverted T wave in lead III:
Other nonspecific signs include (see ECG above):
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Sinus tachycardia and atrial and ventricular ectopic beats. |
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Right axis deviation. |
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Right ventricular strain pattern with inverted T waves in right chest leads. |
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Incomplete or complete right bundle branch block pattern. |
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Slow R wave progression in chest leads |
But all these ECG signs may not be present even in frank pulmonary embolism.