Right Ventricular Dysfunction - RV Strain
Caption
A 39-year-old female with known metastatic lung cancer complicated by multiple pulmonary emboli on apixaban presented with worsening dyspnea and productive cough over one week duration. POCUS identified a large circumferential pericardial effusion in multiple cardiac views in addition to signs of RV strain as demonstrated by flattening of her interventricular septum and ventricular interdependence (shown here on parasternal short axis view). The findings of RV strain are likely chronic and secondary to chronic thromboembolic disease complicated by pulmonary hypertension. Shahad Al Chalaby, MD. PGY3 Internal Medicine.Highland Hospital. Alameda Health System Residency Program. Oakland, CA, USA. @shahad_Chalaby Adam Mortimer, DO. PGY1 Internal Medicine. Highland Hospital. Alameda Health System Residency Program. Oakland, CA USA.