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2:01
cardioserv.net
Pulmonary Embolism in Echo
In the early days of our blog (2015) we published an article on the diagnosis of pulmonary embolism in echo. Since then our audience has grown and additional research results have been published. This week we will review this past article and provide updates based on the latest studies.
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McConnell Sign in Acute Pulmonary Embolism 1. Definition McConnell’s sign is an echocardiographic finding characterized by: Akinesia or severe hypokinesia of the mid right ventricular (RV) free wall With preserved normal contractility of the RV apex This pattern is called “apical sparing.” It is classically associated with acute massive or submassive pulmonary embolism, causing sudden RV pressure overload. --- 2. Significance & Specificity Diagnostic value: Specificity: Very high — around 94–98%
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McCollen sign in Acute PTE McConnell's sign is a distinct echocardiographic finding of right ventricular (RV) dysfunction, characterized by the RV free wall becoming immobile (akinesia) while the apex remains hyperkinetic (moves normally or even more than normal). It is a strong indicator of acute pulmonary embolism (PE) but is not specific to it, as other conditions that increase pulmonary vascular resistance can cause a similar effect. Identifying this sign can help guide emergency treatment d
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McConnell Sign in Acute Pulmonary Embolism 1. Definition McConnell’
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