McConnell's sign on POCUS Echocardiogram An otherwise healthy male presents with pleuritic chest pain. Hypokinetic RV with apical sparing (McConnell sign) suggests acute RV strain, most likely from a pulmonary embolism (PE). In the setting of PE, a tricuspid annular plane systolic excursion (TAPSE) of <1.6cm — >poorer prognosis, higher morbidity/mortality. Dr. Meghan Herbst @EUSmkh #McConnells #sign #POCUS #Echocardiogram #clinical #cardiology #labeled