Atypical presentation of pulmonary embolism detected by stress echocardiography

Authors

  • Iñigo Pereiro Lili Resident doctor in cardiology. University Hospital of Basurto. Bilbao (Bizkaia).
  • Gorka Aurrekoetxea Bajeneta Cardiac Imaging Section. Basurto University Hospital. Bilbao (Bizkaia).
  • Nora García Ibarrondo Cardiac Imaging Section. Basurto University Hospital. Bilbao (Bizkaia).
  • Mireia Codina Prat Cardiac Imaging Section. Basurto University Hospital. Bilbao (Bizkaia).
  • Lara Ruíz Gómez Cardiac Imaging Section. Basurto University Hospital. Bilbao (Bizkaia).

DOI:

https://doi.org/10.37615/retic.v5n3a8

Keywords:

tromboembolismo pulmonar, ecocardiografía de estrés, dolor torácico

Abstract

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.

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References

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

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Published

2022-12-31

How to Cite

1.
Pereiro Lili I, Aurrekoetxea Bajeneta G, García Ibarrondo N, Codina Prat M, Ruíz Gómez L. Atypical presentation of pulmonary embolism detected by stress echocardiography. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2022 Dec. 31 [cited 2024 Jul. 3];5(3):37-40. Available from: https://imagenretic.org/RevEcocarPract/article/view/524

Issue

Vol. 5 No. 3 (2022): Journal of Practical Echocardiography and Other Cardiac Imaging Techniques

Section

CLINICAL CASES

License

Copyright (c) 2022 Iñigo Pereiro Lili, Gorka Aurrekoetxea Bajeneta, Nora García Ibarrondo, Mireia Codina Prat, Lara Ruiz Gómez

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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