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Echocardiography and Pulmonary Embolism

[+] Article and Author Information

Georgetown University Medical Division
District of Columbia General Hospital
Washington, D.C. 20003

Ann Intern Med. 1977;87(6):720-721. doi:10.7326/0003-4819-87-6-720
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Echocardiographic studies on pulmonary thromboembolic disease have not been reported. We document here echocardiographically an impending pulmonary embolism.

A 55-year-old woman seen with unresponsiveness and hypotension had had a similar episode 2 weeks before admission. She was disoriented but had no respiratory distress. Blood pressure was 95/70 mm Hg, pulse 90/minute, oral temperature 38.3 °C, and respiratory rate 18/minute. Lungs were clear to percussion and auscultation. The first and second heart sounds were normal. No cardiac murmurs, gallops, or clicks were noted. Neurologic findings were unremarkable except for disorientation. Routine laboratory data were within normal limits except for a hematocrit


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