Pulmonary embolism (PE) is a common and potentially lethal condition. Despite multiple ECG findings described in association with PE, ST-segment elevation remains rare and represents a diagnostic ...

The most common ECG finding in the setting of a pulmonary embolism is sinus tachycardia. However, the “S1Q3T3” pattern of acute cor pulmonale is classic; this is termed the McGinn-White Sign.

During the hospitalisation he complained of chest pain. ECG showed new onset ST-segment elevation in leads III, aVF and in the precordial leads V1–V4. Shortly thereafter, he became hypotensive and ...