The findings indicative of PE are
The ESC does not recommend using echocardiography in hemodynamically stable PE, due to its low sensitivity.(2)
References
1. McConnell MV, Solomon SD, Rayan ME, Come PC, Goldhaber SZ, Lee RT (1996) Regional Right Ventricular Dysfunction Detected by Echocardiography in Acute Pulmonary Embolism. American Journal of Cardiology. 78: 469-473
2. Torbicki A, Perrier A, Konstantides S, Agnelli G, Galiè N, Pruszczyk P, et al. Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2008;29:2276-315.
- Dilated right heart
- McConnell’s sign (1) - akinesia of the mid-right ventricular free wall, with normal motion of the apex (more specific than sensitive)
- Paradoxical septal motion
- Elevated pulmonary artery systolic pressure
- Dilated IVC
- A thrombus may be present in the right atrium (especially if the source is from a peripheral DVT)
The ESC does not recommend using echocardiography in hemodynamically stable PE, due to its low sensitivity.(2)
References
1. McConnell MV, Solomon SD, Rayan ME, Come PC, Goldhaber SZ, Lee RT (1996) Regional Right Ventricular Dysfunction Detected by Echocardiography in Acute Pulmonary Embolism. American Journal of Cardiology. 78: 469-473
2. Torbicki A, Perrier A, Konstantides S, Agnelli G, Galiè N, Pruszczyk P, et al. Guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J. 2008;29:2276-315.
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