Sudden shortness of breath, chest discomfort and palpitation.
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- hyper-dynamic left ventricle
- right ventricle dilation with reduced longitudinal function (TAPSE=11mm)
- severe tricuspid regurgitation
- right ventricular systolic pressure is 58mmHg
- D-shape on short-axis view
- leftward ventricular septal bowing (LVSB)
- McConnell sign
5 case question available
Vital signs (heart rate: 120/minute; respiratory rate: 35/minute; blood pressure: 110\60 mmHg; O2 saturation: 86%) were abnormal. D-dimer was four times the cut-off value.
The diagnosis was confirmed with CTPA showing a sub-massive pulmonary embolism.
The patient was admitted to the intensive care unit (ICU), the initial management included non-invasive ventilation, oxygen and anti-coagulation.
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