A 50-year-old woman on ICU has a suspected pulmonary embolism. A bedside transthoracic echocardiogram is performed using the ICS FUSIC protocol. Which...

Question

A 50-year-old woman on ICU has a suspected pulmonary embolism. A bedside transthoracic echocardiogram is performed using the ICS FUSIC protocol. Which of the following findings would be most suggestive of acute right ventricular pressure overload from a significant pulmonary embolism?

Accepted Answer

Dilated RV (RV:LV ratio >1:1), interventricular septal bowing towards the LV in systole, and tricuspid annular plane systolic excursion (TAPSE)

Answer

Hyperdynamic left ventricle with normal RV size

Answer

Pericardial effusion with RV diastolic collapse

Answer

Aortic root dilatation

Answer

Mitral valve vegetation

uk-fficm MCQ (SBA): Pulmonary Embolism

A 50-year-old woman on ICU has a suspected pulmonary embolism. A bedside transthoracic echocardiogram is performed using the ICS FUSIC protocol. Which of the following findings would be most suggestive of acute right ventricular pressure overload from a significant pulmonary embolism?