Right ventricular size bigger than left ventricle-consider PE D-Sign is paradoxical septal movement . normally lv is round, if septum flattens romf rv strain, it looks like a “D” instead
Underfilled RV with hypercontractile
On PSL view, a real pericardial effusion will be between heart and descending aorta
Measure ratio between RV and
>1.0 is severe
Akinesia of mid-free wall but normal motion at the apex (McConnell)
Article that scooped us: (Emergency Medicine Journal 2009;26:87-91) ACES