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
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- EP ID EP612659
- DOI 10.26611/10211029
- Views 60
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