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Pulmonary Embolism, Acute — Echo Protocol — Clinical Pathway: Emergency Department, ICU and Inpatient

Acute Pulmonary Embolism Clinical Pathway — Emergency Department, ICU and Inpatient

Echo Protocol

Focused Pulmonary Hypertension Protocol + RV/LV ratio.

Echo Findings

  Normal Abnormal
RV Dilation RV/LV < 1 RV/LV > 1
RV Dysfunction TAPSE Z score normal TAPSE Z score < -2
Septal Position Normal Flattened
RVPE by TRJV < 1/2 systemic Between 1/2 systemic and systemic
  • Abbreviations Key
    • RV right ventricle,
    • LV left ventricle,
    • TAPSE tricuspid annular plane systolic excursion,
    • RVPE right ventricular pressure estimate,
    • TRJV tricuspid regurgitant jet velocity

 

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