In the video 2:
Clinical case: an 80-year-old woman presented to the emergency room with cough, dyspnea and swelling of the legs, with syncopal episodes. Bed-focused cardiac ultrasound revealed right ventricular free wall hypokinesia, with apical sparing, in the apical four-chamber view. A CT angiography for PE is positive. Ultrasound of both lower limbs was negative for deep vein thrombosis and a D-dimer was only marginally elevated. N.B. It should be remembered that McConnell’s sign alone is not completely specific for the acute right heart strain from PE. The images were acquired with an Esaote MyLab ™ X8
ecoscanner equipped with a P1-5 broadband IQ phased array,
adult cardiology probe, using the vortex technique for the right cavities.
Pierluigi Incarnato, TFCPC Cardiovascular and Abdominal Techinician Sonographer, Cardiac Physiologist at San Michele Nursing Home (Italy)