Acute Pulmonary Embolism:

"D" sign:
In a physiologically normal heart, LV pressure > RV pressure. When viewing heart in a parasternal short axis during systole the LV maintains a circular appearance, bowing the intraventricular septum into the right ventricle. A D-shaped left ventricle or flattening of the interventricular septum with a D-shaped configuration is a feature described with significant RV overload / right heart strain such as that occurring with complications of a sizable pulmonary embolic event. 
McConnell's sign:
An echocardiographic finding of segmental right ventricular wall‐motion abnormality with apical sparing, is highly specific in acute pulmonary embolism and may guide rapid intervention when other testing is not feasible.

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Satyendra Dhar, MD @DharSaty · 2 years ago
Hospital Medicine Clinical Assistant Professor The content and images on this website are provided for educational and informational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. The views expressed are those of the authors and do not necessarily reflect those of any affiliated institutions. While efforts are made to ensure accuracy and currency, medical knowledge is continually evolving, and errors or omissions may occur. Users are advised to independently verify information and seek guidance from qualified healthcare professionals for any medical decisions. By using this website, you acknowledge responsibility for your own clinical judgments, and the website and its contributors disclaim any liability arising from the use of its content. 👉 Follow 'Medical Infographics' on 👉 https://www.DharSaty.com
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