Pulmonary embolism presenting as supraventricular tachycardia in paraplegia: a case report.
case_report · Level V
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Abstract
Supraventricular tachycardia as a presenting sign of pulmonary embolism is unusual. A 31-year-old man with incomplete T11 paraplegia on the basis of spinal cord ischemia developed supraventricular tachycardia 37 days after surgery to repair an aortic tear. Subsequent work-up revealed evidence of multiple submassive pulmonary emboli, despite thromboembolism prophylaxis. Clinicians should maintain a high index of suspicion for thromboembolic events when faced with cardiac rhythm disturbances in high-risk patients.
Medical subject headings
- Paraplegia
- Pulmonary Embolism
- Tachycardia, Supraventricular