Venous Doppler and 2D Echocardiography findings in pulmonary embolism cases
Journal Title: Medpulse International Journal of Medicine - Year 2019, Vol 10, Issue 2
Abstract
Background: Pulmonary thromboembolic disease refers to the condition in which blood clot(s) (thrombus or multiple thrombi) migrate from the systemic circulation to the pulmonary vasculature. Amis and objective: To study the venous Doppler and 2D Echocardiography findings in pulmonary embolism cases. Material and Methods: In the present observational study patients with age 21 years and above with CT pulmonary angiography showing evidence of pulmonary embolism were enrolled in the study. Total 50 cases were selected in the two years of study duration. Results: Lobar and segmental location of thrombus (90%) was most common finding on CT Pulmonary angiography and was followed by thrombus at Right branch of main pulmonary artery (24%) and Main pulmonary artery (12%). 48% patients had a normal chest X ray while cardiomegaly on chest X ray (26%) was the second most common finding. Sinus tachycardia (88%) was the most common ECG abnormality followed by T wave inversion in V1 – V3 (72%). Tricuspid regurgitation (90%) was most common finding on 2D Echocardiography followed by RA and RV dilatation (84%) was reported. Severe and moderate pulmonary hypertension was diagnosed in 50% and 34% cases respectively. 44% cases showed normal venous Doppler. Left lower limb DVT was reported in 26% cases while right lower limb DVT was reported in 24% cases. Conclusion: In the end we conclude that sinus tachycardia followed by T wave inversion in V1 – V3 were the most common ECG abnormality. Tricuspid regurgitation followed by RA and RV dilatation were the most common finding on 2D Echocardiography. While abnormal Doppler findings were observed in 56% cases where Left lower limb DVT and right lower limb DVT was common diagnosis.
Authors and Affiliations
Rahul N Mastud, Gurunath P Parale
Keywords
Related Articles
- EP ID EP612659
- DOI 10.26611/10211029
- Views 55
- Downloads 0
Study of neurological manifestations in plasmodium vivax malaria
Background: Cerebral malaria is the most dreaded and a potentially life-threatening complication of malaria. The percentage of neurological manifestations of vivax malaria cases is on the increasing trend. Aim: To highli...
Doppler evaluation of carotid arteries in patients with ischemic stroke in rural coastal region of Maharashtra
Background: Cerebral ischemic stroke is a major cause of death, ranking third behind only malignancies and cardiovascular disease. Aims and Objectives: To study Doppler evaluation of carotid arteries in patients with Isc...
A clinical profile of the patients with malaria at tertiary health care center
Background: Malaria remains, as it has been for centuries, one of the most serious parasitic diseases worldwide, affecting 300–500 million people and causing over 1 million deaths annually. Aims and Objectives: To study...
Clinical presentation and electrocardiographic characteristics of patients with dilated cardiomyopathy
Background: Dilated cardiomyopathy is being recognized as a significant cause of morbidity and mortalitydue to increased awareness along with improvement in diagnostic techniques. Present study was undertaken to focus on...
Different radiological presentations in patients with lung cancer
Background: Lung cancer is the most common cause of cancer related death worldwide. Early diagnosis is critical for initiation of specific therapy. Aim and Objective: To study different radiological presentation in patie...