McConnell's sign: Echocardiography in the management of acute pulmonary embolism
Abstract Management of acute pulmonary embolism depends immensely on rapid diagnosis and early intervention. Transthoracic echocardiography has gained favorability in scenarios where diagnostic computed tomography angiography is not feasible. McConnell's sign, an echocardiographic finding of se...
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2021
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oai:doaj.org-article:3bb62b9859c94c40a3068889987dec432021-12-02T07:55:57ZMcConnell's sign: Echocardiography in the management of acute pulmonary embolism2050-090410.1002/ccr3.4994https://doaj.org/article/3bb62b9859c94c40a3068889987dec432021-10-01T00:00:00Zhttps://doi.org/10.1002/ccr3.4994https://doaj.org/toc/2050-0904Abstract Management of acute pulmonary embolism depends immensely on rapid diagnosis and early intervention. Transthoracic echocardiography has gained favorability in scenarios where diagnostic computed tomography angiography is not feasible. McConnell's sign, an echocardiographic finding of segmental right ventricular wall‐motion abnormality with apical sparing, is highly specific and may guide therapeutic intervention. We present the case of a 59‐year‐old man who was found to have acute pulmonary embolism with obstructive shock, managed successfully with thrombolytic therapy after identification of McConnell's sign. We review current literature and develop a framework for the integration of echocardiography into the multimodal approach to management.Vishal I. PatelMichelle MilesSharareh ShahangianJohn JavienWileyarticleMcConnell's signpulmonary embolismthrombolysistransthoracic echocardiographyvenous thromboembolismMedicineRMedicine (General)R5-920ENClinical Case Reports, Vol 9, Iss 10, Pp n/a-n/a (2021) |
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McConnell's sign pulmonary embolism thrombolysis transthoracic echocardiography venous thromboembolism Medicine R Medicine (General) R5-920 |
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McConnell's sign pulmonary embolism thrombolysis transthoracic echocardiography venous thromboembolism Medicine R Medicine (General) R5-920 Vishal I. Patel Michelle Miles Sharareh Shahangian John Javien McConnell's sign: Echocardiography in the management of acute pulmonary embolism |
description |
Abstract Management of acute pulmonary embolism depends immensely on rapid diagnosis and early intervention. Transthoracic echocardiography has gained favorability in scenarios where diagnostic computed tomography angiography is not feasible. McConnell's sign, an echocardiographic finding of segmental right ventricular wall‐motion abnormality with apical sparing, is highly specific and may guide therapeutic intervention. We present the case of a 59‐year‐old man who was found to have acute pulmonary embolism with obstructive shock, managed successfully with thrombolytic therapy after identification of McConnell's sign. We review current literature and develop a framework for the integration of echocardiography into the multimodal approach to management. |
format |
article |
author |
Vishal I. Patel Michelle Miles Sharareh Shahangian John Javien |
author_facet |
Vishal I. Patel Michelle Miles Sharareh Shahangian John Javien |
author_sort |
Vishal I. Patel |
title |
McConnell's sign: Echocardiography in the management of acute pulmonary embolism |
title_short |
McConnell's sign: Echocardiography in the management of acute pulmonary embolism |
title_full |
McConnell's sign: Echocardiography in the management of acute pulmonary embolism |
title_fullStr |
McConnell's sign: Echocardiography in the management of acute pulmonary embolism |
title_full_unstemmed |
McConnell's sign: Echocardiography in the management of acute pulmonary embolism |
title_sort |
mcconnell's sign: echocardiography in the management of acute pulmonary embolism |
publisher |
Wiley |
publishDate |
2021 |
url |
https://doaj.org/article/3bb62b9859c94c40a3068889987dec43 |
work_keys_str_mv |
AT vishalipatel mcconnellssignechocardiographyinthemanagementofacutepulmonaryembolism AT michellemiles mcconnellssignechocardiographyinthemanagementofacutepulmonaryembolism AT shararehshahangian mcconnellssignechocardiographyinthemanagementofacutepulmonaryembolism AT johnjavien mcconnellssignechocardiographyinthemanagementofacutepulmonaryembolism |
_version_ |
1718399096483479552 |