Right Ventricular Dysfunction - D-Sign in acute PE - Pre TPA
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34 y/o female no PMH with chest pain and rapid onset dyspnea on exertion noticed over 1 day. Patient became increasingly tachycardic and ultimately hypotensive so RUSH exam was performed showing D - Sign. CTA was subsequently performed and found to have saddle emboli. Echo was done pre and post TPA showing partial resolution of the D-sign. Dr. Joshua Schechter - Kings County Emergency Medicine