Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism
Brandon Regional Hospital
pulmonary embolism, point-of-care ultrasound, echocardiography, emergency medicine, triscuspid annular plane systolic excursion, systemic thrombolysis
Cardiology | Cardiovascular Diseases | Emergency Medicine
Massive pulmonary embolism (PE) is a life-threatening condition with a high mortality burden. The rapid diagnosis of PE can be supported with focused cardiac ultrasound (FOCUS) by identifying signs of right ventricular dysfunction (RVD). This case report describes a patient with hemodynamically unstable massive PE who received systemic thrombolytic therapy. Emergency physicians performed serial FOCUS examinations to assess the resolution of RVD in guidance of clinical management.
Publisher or Conference
Au A, Hsu P, Mcclure M, et al. Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism. Cureus. 2020 April;12(4):e7771. doi:10.7759/cureus.7771