clinical features of massive PE
Last reviewed 07/2021
The symptoms of massive pulmonary embolism include:
- crushing chest pain
- sudden circulatory collapse - patient becomes pale, sweaty and breathless
- transient loss of consciousness
- haemoptysis is uncommon
The signs of massive pulmonary embolism include:
- central cyanosis
- feeble pulse
- tachycardia/bradycardia
- hypotension
- raised JVP
- auscultation of heart reveals:
- pulmonary hypertension (loud P2)
- a third or fourth heart sound (gallup rhythm)
Ventricular fibrillation may ensue.