Presentación atípica de tromboembolismo pulmonar detectado mediante ecocardiografía de estrés
- Pereiro Lili, Iñigo 1
- Aurrekoetxea Bajeneta, Gorka 2
- García Ibarrondo, Nora 2
- Codina Prat, Mireia 2
- Ruíz Gómez, Lara 2
- 1 Médico residente de cardiología. Hospital Universitario de Basurto. Bilbao (Bizkaia).
- 2 Sección de imagen cardiaca. Hospital Universitario de Basurto. Bilbao (Bizkaia).
ISSN: 2529-976X
Datum der Publikation: 2022
Titel der Ausgabe: Journal of Practical Echocardiography and Other Cardiac Imaging Techniques
Ausgabe: 5
Nummer: 3
Seiten: 37-40
Art: Artikel
Andere Publikationen in: Revista de Ecocardiografía práctica y otras Técnicas de Imagen Cardíaca (RETIC)
Zusammenfassung
We present the case of a young woman who was admitted to our hospital due to exertional chest pain. A stress echocardiogram was performed without visualizing segmental contractility alterations of the left ventricle, but right ventricle dilatation and overload signs were seen, both suggestive of an acute pulmonary embolism. The diagnosis was later confirmed with a CT angiography of the pulmonary arteries. Very few cases of pulmonary embolisms initially detected by stress echocardiography have been described in the literature. The patient had a good evolution and was discharged with oral anticoagulation.
Bibliographische Referenzen
- Guía ESC 2019 para el diagnóstico y tratamiento de la embolia pulmonar aguda. Revista Española de Cardiología. junio de 2020;73(6):497.e1-497.e58. DOI: https://doi.org/10.1016/j.recesp.2019.12.030
- Ramanath VS, Lacomis JM, Katz WE. Diagnosis of pulmonary embolism by acute right heart morphologic and hemodynamic changes observed during exercise stress echocardiography. Journal of the American Society of Echocardiography. septiembre de 2004;17(9):1005-8. DOI: https://doi.org/10.1016/j.echo.2004.04.032
- Case BC, Zemedkun M, Sangkharat A, Taylor AJ, Srichai MB. Pulmonary Embolism Diagnosed From Right Heart Changes Seen After Exercise Stress Echocardiography. Circ: Cardiovascular Imaging [Internet]. agosto de 2015 [citado 21 de julio de 2022];8(8). Disponible en: https://www.ahajournals.org/doi/10.1161/CIRCIMAGING.115.003506 DOI: https://doi.org/10.1161/CIRCIMAGING.115.003506