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Massive pulmonary embolism

Authoring team

Massive pulmonary embolus is characterised by:

  • sudden circulatory collapse:
    • hypotension
    • cold peripheries
    • cyanosis
    • central chest pain due to myocardial isachaemia
  • hyperventilation
  • neck vein engorgement
  • coma
  • ECG changes - S1,Q3,T3 with right axis deviation and right bundle branch block

Reference

  1. Konstantinides SV, Meyer G, Becattini C, et al. 2019 ESC guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020 Jan 21;41(4):543-603.

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