Prof Vieillard-Baron delivered this lecture and began by pointing out a great overall review on the topic https://t.co/5TZsRZIZ12
1: pulmonary embolism – management strategies here https://t.co/Cwc7drmG5z
- risk stratification by echo: https://t.co/GmDYz6T2yE
- Echo diagnostic criteria- McConnel’s sign, the 60/60 sign, RV ejection flow pattern (excellent 5 minute sono vid on this https://t.co/As4cgbM420)
- Occasionally you might see clot in transit!
2: Acute myocardial infarction
3: Mechanical ventilation – especially if a PFO is recanalised https://t.co/NwC6XPI91H
5: chronic RV failure- differentiate this from acute using RV wall thickness and the PASP (again, 5 minute sono has a wonderful example https://t.co/hmDtjSNZJ6)
If your RV is failing, Prof Vieillard-Baron recommends noradrenaline as it’s “magic for the RV”!