Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism

摘要

Massive pulmonary embolism (PE) is a life-threatening condition with a high mortality burden.?The rapid diagnosis of PE can be supported with focused cardiac ultrasound (FOCUS) by identifying signs of right ventricular dysfunction (RVD).?This case report describes a patient with hemodynamically unstable massive PE who received systemic thrombolytic therapy.?Emergency physicians performed serial FOCUS examinations to assess the resolution of RVD in guidance of clinical management.