Early Determination of TAPSE (Tricuspid Annular Plane Systolic Excursion) Improves Early Identification of Pulmonary Thromboembolism and Management in the Female Population Presenting with Undifferentiated Dyspnea to the Emergency Department

Abstract

AbstractPulmonary embolism (PE) can present to emergency departments with various clinical symptoms. It can be easily missed. Although both sexes are equally susceptible to it, but factors associated with the use of oral contraceptives and hormonal therapy and pregnancy put the female population more at risk theoretically. Apart from gender-based differences, we have observed that early recognition of PE is dependent on many parameters, with varying degrees of accuracy. The gold standard CT pulmonary angiography is logistically impossible in an unstable patient. Estimation of TAPSE values by performing bedside echocardiography is found to be very sensitive and specific for PE. Our study denotes a cutoff point of 1.8 cm for females with PE and 1.07 cm for males with PE