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APPLYING THE NOVEL ELECTROCARDIOGRAM SCORE (NECGS) IN PREDICTING ACUTE PULMONARY EMBOLISM
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Abstract
Acute pulmonary embolism (PE) is a critical medical emergency characterized by a high mortality risk. Its diagnosis remains challenging due to the non-specific nature of its clinical manifestations, which often overlap with other pathologies. Prompt diagnosis and aggressive treatment are essential to reduce mortality and shorten hospital stays. The role of electrocardiography (ECG) in the diagnosis of pulmonary embolism is contentious. A novel ECG scoring system (nECGs) has been developed, combining classic and new electrocardiographic signs with a focus on right thoracic leads. An nECGs score of ≥4 suggests a high likelihood of pulmonary embolism, whereas a score of <4 effectively excludes the diagnosis. In this article, we report a clinical case with electrocardiogram highly suggesting of acute pulmonary embolism, with an nECGs score of 8. Computed tomography pulmonary angiography confirmed acute thrombosis in the bilateral pulmonary arteries and lobar branches. The nECGs is a valuable tool for the early diagnosis and prediction of pulmonary embolism.
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Keywords
Acute pulmonary embolism, electrocardiogram, novel ECG score, nECGs.
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