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Updated: Nov 20, 2025

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Pulmonary Embolus Imaging Assessment With Emphasis on Echocardiography
Devorah M Taylor1, Sandra V Abramson2, Katie M Hawthorne3
1Lead cardiovascular sonographer for Lankenau Medical Center in Wynnewood, Pennsylvania. TaylorD@MLHS.org.
Echocardiography, or transthoracic echocardiography (TTE), is vital for detecting pulmonary embolisms (PE). This noninvasive tool aids in diagnosing PE, even when caused by metastatic tumors, potentially improving patient outcomes.
Area of Science:
- Cardiology
- Diagnostic Imaging
- Oncology
Background:
- Echocardiography (transthoracic echocardiography, TTE) plays a crucial role in diagnosing pulmonary embolisms (PE).
- A case study highlights PE detection, complicated by metastatic tumor masses, underscoring the need for comprehensive diagnostic approaches.
Purpose of the Study:
- To emphasize the importance of echocardiography in detecting and diagnosing pulmonary embolisms (PE).
- To illustrate the utility of TTE in identifying PE, including complex cases involving metastatic tumors.
Main Methods:
- Utilized transthoracic echocardiography (TTE) as a key diagnostic modality for PE.
- Evaluated four essential TTE components for PE detection: right ventricle dysfunction, McConnell sign, elevated pulmonary artery pressures, and mass/thrombus visualization.
Main Results:
- Echocardiography effectively identifies heart masses and provides vital information for PE diagnosis.
- TTE revealed right ventricle dysfunction, McConnell sign, elevated pulmonary artery pressures, and visualized masses/thrombi, aiding PE diagnosis.
Conclusions:
- Echocardiography is a valuable, noninvasive, cost-effective, and time-efficient tool for PE diagnosis.
- Standardizing hepatocellular carcinoma screenings and implementing routine sonography for PE detection can improve patient care and outcomes.
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