2019
Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs
Daley JI, Dwyer KH, Grunwald Z, Shaw DL, Stone MB, Schick A, Vrablik M, Hall M, Hall J, Liteplo AS, Haney RM, Hun N, Liu R, Moore CL. Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs. Academic Emergency Medicine 2019, 26: 1211-1220. PMID: 31562679, DOI: 10.1111/acem.13774.Peer-Reviewed Original ResearchConceptsAbnormal vital signsComputed tomography angiographyBeats/minPulmonary embolismVital signsProspective observational multicenter cohort studyCardiac ultrasoundTricuspid annular plane systolic excursionObservational multicenter cohort studyAnnular plane systolic excursionDiagnosis of PERight ventricular dysfunctionMulticenter cohort studyRight ventricular dilationUrban academic EDEmergency department patientsEntire patient populationVital sign abnormalitiesFocused cardiac ultrasoundRapid bedside testDiagnostic test characteristicsSubstantial interobserver agreementMcConnell's signVentricular dysfunctionCohort studyA Doppler Echocardiographic Pulmonary Flow Marker of Massive or Submassive Acute Pulmonary Embolus
Afonso L, Sood A, Akintoye E, Gorcsan J, Rehman M, Kumar K, Javed A, Kottam A, Cardozo S, Singh M, Palla M, Ando T, Adegbala O, Shokr M, Briasoulis A. A Doppler Echocardiographic Pulmonary Flow Marker of Massive or Submassive Acute Pulmonary Embolus. Journal Of The American Society Of Echocardiography 2019, 32: 799-806. PMID: 31056367, DOI: 10.1016/j.echo.2019.03.004.Peer-Reviewed Original ResearchConceptsMassive pulmonary embolismSubmassive pulmonary embolismPulmonary embolismSubsegmental pulmonary embolismMcConnell's signExtent of PEDoppler flow patternsAcute pulmonary emboliFuture prospective studiesCharacteristic curve analysisSpectral Doppler interrogationAlternative imaging modalityNoninvasive signsUnderwent echocardiographyEchocardiographic parametersPulmonary hypertensionPulmonary emboliEchocardiography parametersProspective studyDoppler interrogationTomographic angiographyDeceleration timeDoppler variablesClinical utilityPatients
2015
McConnell's Sign Is Not Specific for Pulmonary Embolism: Case Report and Review of the Literature
Walsh BM, Moore CL. McConnell's Sign Is Not Specific for Pulmonary Embolism: Case Report and Review of the Literature. Journal Of Emergency Medicine 2015, 49: 301-304. PMID: 25986329, DOI: 10.1016/j.jemermed.2014.12.089.Peer-Reviewed Original ResearchConceptsPulmonary embolismMcConnell's signAcute right heart strainChronic obstructive pulmonary diseaseRight heart strainDeep venous thrombosisObstructive pulmonary diseaseSystemic lupus erythematosusComputed tomography angiogramRV free wallFour-chamber viewPulmonary hypertensionApical sparingHeart strainLeg swellingLupus erythematosusPulmonary diseaseVenous thrombosisD-dimerTomography angiogramEmergency departmentCase reportLower extremitiesEmergency physiciansFree wall
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