Case:
CC: Chronic dyspnea for 2yrs
PE: Widely split S2、accentuated P2、borderline JVE
ECG: SR, tall R in V1, S1Q3T3
Echocardiogram: McConnell's Sign
( Akinesia of the
mid-free wall but normal motion of the apex. A 77% sensitivity and a 94%
specificity for the diagnosis of acute pulmonary embolism in the setting of
right ventricular dysfunction)
as an acceleration time ≦ 60 milliseconds in the presence of a
tricuspid regurgitation pressure gradient of < 60 mmHg.
The sensitivity, specificity, PPV, and negative predictive value of the
60/60 sign in the diagnosis of acute PE was reported to be 25%,
94%, 90%, and 38%
respectively.
Typical
PE finding of PE: widely split S2、accentuated P2、RV
heave、parasternal S4、high JVP
Q: acute PE和chronic PE的差別?
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