Campbell, R. T., Petrie, C. J., Payne, A. R. and McEntegart, M. (2015) Elderly woman presenting after a collapse. Annals of Emergency Medicine, 66(3), pp. 338-345. (doi: 10.1016/j.annemergmed.2014.10.017) (PMID:26304256)
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Abstract
An 81-year-old woman with myeloma and a recent fractured femoral neck presented after a collapse. On arrival, she was tachycardic, hypotensive, and hypoxic. ECG showed incomplete right bundle branch block, prominent S waves in lead I, Q waves and T-wave inversion in lead III (FigureA, black arrows). Echocardiography, performed by a cardiologist in the emergency department (ED), revealed classic features of massive pulmonary thromboembolism, with right ventricle enlargement and regional impairment of the right ventricle free wall (McConnell’s sign) ( FigureB; Video E1, available online at http://www.annemergmed.com), 1 compression of the left ventricle, and a large serpentine thrombus in the right atrium, which extends into the right ventricle ( FigureB, white arrow; Video E1, available online at http://www.annemergmed.com).
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Campbell, Dr Ross and Payne, Dr Alexander |
Authors: | Campbell, R. T., Petrie, C. J., Payne, A. R., and McEntegart, M. |
College/School: | College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health |
Journal Name: | Annals of Emergency Medicine |
Publisher: | Elsevier |
ISSN: | 0196-0644 |
ISSN (Online): | 1097-6760 |
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