Article: Right-sided EKG in pulmonary embolism

Purpose: To identify right-sided chest lead electrocardiographic abnormalities in acute pulmonary embolism.

Patients and Methods: Analysis of electrocardiographic changes in 100 African American patients suspected of having pulmonary embolism was made at Howard University Hospital during 2001-02 (60% women, 40% men, median age 50 years). Standard 12-lead EKGs were obtained within one hour of arrival to emergency room. Right-sided EKGs were obtained within 24 hours of onset of symptoms of pulmonary embolism. Parameters of both right- and left-sided EKGs available were measured and compared.

Results: Only 20% of these patients were diagnosed with pulmonary embolism. EKG changes (three of ...

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