Pulmonary Embolism on ECG Mid 30's female with chest pain/dyspnea. Triage EKG (no prior). Sister had MI in early 40's. Differential/diagnosis? Activate cath lab? See thread for POCUS Pulmonary embolism. Patient has t-wave inversions V1-V4 plus inferior leads (II, III, AVF)(pattern seen in 34% of cases). Patient had severe pulmonary hypertension (>60mmHg)! Dr. Robert Jones @RJonesSonoEM #Pulmonary #Embolism #ECG #EKG #Electrocardiogram #clinical #cardiology