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• W4383740891 endingPage "84" @default.
• W4383740891 startingPage "72" @default.
• W4383740891 abstract "Pulmonary embolism (PE) and pulmonary hypertension (PH) are potentially fatal disease states. Early diagnosis and goal-directed management improve outcomes and survival. Both conditions share several echocardiographic findings of right ventricular dysfunction. This can inadvertently lead to incorrect diagnosis, inappropriate and potentially harmful management, and delay in time-sensitive therapies. Fortunately, bedside echocardiography imparts a few critical distinctions. This narrative review describes eight physiologically interdependent echocardiographic parameters that help distinguish acute PE and chronic PH. The manuscript details each finding along with associated pathophysiology and summarization of the literature evaluating diagnostic utility. This guide then provides pearls and pitfalls with high-quality media for the bedside evaluation. The echocardiographic parameters suggesting acute or chronic right ventricular dysfunction (best used in combination) are: 1. Right heart thrombus (acute PE) 2. Right ventricular free wall thickness (acute ≤ 5 mm, chronic > 5 mm) 3. Tricuspid regurgitation pressure gradient (acute ≤ 46 mmHg, chronic > 46 mmHg, corresponding to tricuspid regurgitation maximal velocity ≤ 3.4 m/sec and > 3.4 m/sec, respectively) 4. Pulmonary artery acceleration time (acute ≤ 60-80 msec, chronic < 105 msec) 5. 60/60 sign (acute) 6. Pulmonary artery early-systolic notching (proximally-located, higher-risk PE) 7. McConnell’s sign (acute) 8. Right atrial enlargement (equal to left atrial size suggests acute, greater than left atrial size suggests chronic). Emergency physicians must appreciate the echocardiographic findings and associated pathophysiology that help distinguish acute and chronic right ventricular dysfunction. In the proper clinical context, these findings can point towards PE or PH, thereby leading to earlier goal-directed management." @default.
• W4383740891 created "2023-07-11" @default.
• W4383740891 creator A5051064628 @default.
• W4383740891 creator A5067475598 @default.
• W4383740891 date "2023-10-01" @default.
• W4383740891 modified "2023-10-16" @default.
• W4383740891 title "What echocardiographic findings differentiate acute pulmonary embolism and chronic pulmonary hypertension?" @default.
• W4383740891 cites W1517565708 @default.
• W4383740891 cites W1848000096 @default.
• W4383740891 cites W1892792214 @default.
• W4383740891 cites W1920355337 @default.
• W4383740891 cites W1941544654 @default.
• W4383740891 cites W1966413989 @default.
• W4383740891 cites W1968814354 @default.
• W4383740891 cites W1973685526 @default.
• W4383740891 cites W1975443612 @default.
• W4383740891 cites W1976249352 @default.
• W4383740891 cites W1976805840 @default.
• W4383740891 cites W1977986478 @default.
• W4383740891 cites W1978612071 @default.
• W4383740891 cites W1978750086 @default.
• W4383740891 cites W1983032299 @default.
• W4383740891 cites W1984349156 @default.
• W4383740891 cites W1984607608 @default.
• W4383740891 cites W1986393440 @default.
• W4383740891 cites W1987160089 @default.
• W4383740891 cites W1987769817 @default.
• W4383740891 cites W1988943431 @default.
• W4383740891 cites W1989255048 @default.
• W4383740891 cites W1993478986 @default.
• W4383740891 cites W1995719707 @default.
• W4383740891 cites W2000465937 @default.
• W4383740891 cites W2001385061 @default.
• W4383740891 cites W2003288924 @default.
• W4383740891 cites W2004722880 @default.
• W4383740891 cites W2006290430 @default.
• W4383740891 cites W2011379391 @default.
• W4383740891 cites W2017224500 @default.
• W4383740891 cites W2021812777 @default.
• W4383740891 cites W2022543327 @default.
• W4383740891 cites W2023676155 @default.
• W4383740891 cites W2026993335 @default.
• W4383740891 cites W2028308395 @default.
• W4383740891 cites W2030337578 @default.
• W4383740891 cites W2032885711 @default.
• W4383740891 cites W2035481848 @default.
• W4383740891 cites W2037560915 @default.
• W4383740891 cites W2037829541 @default.
• W4383740891 cites W2041528756 @default.
• W4383740891 cites W2052922092 @default.
• W4383740891 cites W2057243334 @default.
• W4383740891 cites W2058424060 @default.
• W4383740891 cites W2062411234 @default.
• W4383740891 cites W2064874816 @default.
• W4383740891 cites W2065175578 @default.
• W4383740891 cites W2072221926 @default.
• W4383740891 cites W2074899414 @default.
• W4383740891 cites W2074983090 @default.
• W4383740891 cites W2076641973 @default.
• W4383740891 cites W2077075204 @default.
• W4383740891 cites W2081718830 @default.
• W4383740891 cites W2083565359 @default.
• W4383740891 cites W2083933777 @default.
• W4383740891 cites W2085665416 @default.
• W4383740891 cites W2087619087 @default.
• W4383740891 cites W2093355020 @default.
• W4383740891 cites W2094291776 @default.
• W4383740891 cites W2098196669 @default.
• W4383740891 cites W2101825249 @default.
• W4383740891 cites W2110134277 @default.
• W4383740891 cites W2111661860 @default.
• W4383740891 cites W2113192822 @default.
• W4383740891 cites W2113247869 @default.
• W4383740891 cites W2113484293 @default.
• W4383740891 cites W2113561376 @default.
• W4383740891 cites W2116118059 @default.
• W4383740891 cites W2116948599 @default.
• W4383740891 cites W2119502139 @default.
• W4383740891 cites W2123517619 @default.
• W4383740891 cites W2123858410 @default.
• W4383740891 cites W2124624517 @default.
• W4383740891 cites W2127980090 @default.
• W4383740891 cites W2129490291 @default.
• W4383740891 cites W2130159947 @default.
• W4383740891 cites W2130776956 @default.
• W4383740891 cites W2138407120 @default.
• W4383740891 cites W2140685621 @default.
• W4383740891 cites W2141738369 @default.
• W4383740891 cites W2143345227 @default.
• W4383740891 cites W2152512973 @default.
• W4383740891 cites W2153550843 @default.
• W4383740891 cites W2154469615 @default.
• W4383740891 cites W2155409018 @default.
• W4383740891 cites W2155667538 @default.
• W4383740891 cites W2155720896 @default.
• W4383740891 cites W2155853257 @default.
• W4383740891 cites W2159785168 @default.
• W4383740891 cites W2161018127 @default.

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