The EKG is easy to obtain and is certainly useful to potentially exclude or uncover other etiologies of chest pain. Furthermore, an EKG can aid in diagnosis or at least increase suspicion or PE as well as provide prognostic data on an already diagnosed PE. This week we dive into the data regarding EKG analysis in PE.
We do not doubt that PE can be a factor in syncope, but we have concerns over possible over testing for PE among undifferentiated syncope patients secondary to the PESIT study conclusions.
This post will introduce key concepts regarding the pathophysiology of RV failure and provide you with answers to high yield questions in management of these difficult patients.