A 56 years old male patient without a history of cardiac disease referred to our emergency department from community hospital due to cardiopulmonary arrest having successful resuscitation. On initial examination patient was unconscious and mechanically ventilated. He was in sinusal tachycardia with heart rate of 130beats/min, hypotensive with blood pressure of 70/54 mmHg and hypoxic requiring high-flow oxygen to maintain oxygen saturation of 90–94%. Blood tests showed normal liver and kidney function with elevated serum troponin level. Electrocardiography showed ST segment elevation on right precordial leadsV1-3 and incomplete right bundle branch block that mimicks Brugada patern. Bedside echocardiography demonstrated normally left ventricle function, dilated right ventricle and pressure overload on the right side of the heart and elevated pulmonary artery pressure. Pulmonary emboli was suspected and subsequent computed tomography scan confirmed multiple bilateral pulmonary emboli. Patient transferred to intensive care unit for further management and thrombolytic therapy was started unfortunately he died 4 hours after to admission.
