Template:PE types

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PE Types

Massive

  • Sustained hypotension (sys BP <90 for at least 15min or requiring inotropic support)
  • Pulselessness
  • Persistent profound bradycardia (HR <40 with signs of shock)

Submassive

  • Sys BP >90 but with either RV dysfunction or myocardial necrosis
  • RV dysfunction
    • RV dilation or dysfunction on TTE
    • RV dilation on CT
    • Elevation of BNP (>90)
    • ECG: new complete or incomplete RBBB, anteroseptal ST elevation/depression or TWI[1]
    • Myocardial necrosis: Troponin I >0.4

Non-Massive

  • No hemodynamic compromise and no RV strain

Sub-Segmental

  • Limited to the subsegmental pulmonary arteries


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