“A Doppler Echocardiographic Pulmonary Flow Marker of Massive or
Submassive Acute Pulmonary Embolus”
CME Information: 1 credit
Release date: July 2019 Valid through: July 2020
Introduction/Statement of Need:
To date, echocardiography has not gained acceptance as an alternative imaging modality for the detection of massive pulmonary embolism (MPE) or submassive pulmonary embolism (SMPE). The objective of this study was to explore the clinical utility of early systolic notching (ESN) of the right ventricular outﬂow tract (RVOT) pulsed-wave Doppler envelope in the detection of MPE or SMPE.
This activity is designed for all cardiac sonographers and cardiovascular physicians with a primary interest and knowledge base in the field of echocardiography; in addition, residents, researchers, clinicians, intensivists, and other medical professionals.
At the end of this article the reader will better be able to:
Define the clinical utility of early systolic notching (ESN) of the RVOT PW envelope in the detection of massive or submassive pulmonary emobolus.
Clarify the role that McConnell's sign, the 60/60 sign, and RV dysfunction play in the evaluation of pulmonary embolus.
Recognize the subtleties of technique to reliably acquire the ESN.
Appreciate the limitations of the ESN for the accurate diagnosis of pulmonary embolus.
Appropriately utilize the current diagnostic modality of choice for the diagnosis of pulmonary embolus.
The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Society of Echocardiography designates this enduring material for a maximum of 2 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to X MOC point in the American Board of Internal Medicine's (ABIM). Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
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Writing Group Members: Luis Afonso, MD, Aditya Sood, MD, Emmanuel Akintoye, MD, John Gorcsan, III, MD,Mobeen Ur Rehman, MD, Kartik Kumar, MD, Arshad Javed, MD, Anupama Kottam, MD, Shaun Cardozo, MD, Manmohan Singh, MD, Mohan Palla, MD, Tomo Ando, MD, Oluwole Adegbala, MD, Mohamed Shokr, MD, and Alexandros Briasoulis, MD, PhD, Detroit, Michigan; St. Louis, Missouri; Englewood, New Jersey; and Iowa City, Iowa
According to ACCME policy, ASE implemented mechanisms to resolve all conflicts of interest prior to the planning and implementation of this activity.
The following authors reported no actual or potential conflicts of interest in relation to this document:
Luis Afonso, MD, Aditya Sood, MD, Emmanuel Akintoye, MD, John Gorcsan, III, MD,Mobeen Ur Rehman, MD, Kartik Kumar, MD, Arshad Javed, MD, Anupama Kottam, MD, Shaun Cardozo, MD, Manmohan Singh, MD, Mohan Palla, MD, Tomo Ando, MD, Oluwole Adegbala, MD, Mohamed Shokr, MD, and Alexandros Briasoulis, MD, PhD, Detroit, Michigan; St. Louis, Missouri; Englewood, New Jersey; and Iowa City, Iowa
The following authors reported relationships with one or more commercial interests:
The following CME reviewers, ASE Staff and JASE editors reported no actual or potential conflicts of interest in relation to this document:
Timothy Slesnick, MD, FASE, Eric Kallstrom MBA, ACS, RDCS, FASE, Elizabeth Lane, and Christina LaFuria
The following CME reviewers, ASE Staff and JASE editors reported relationships with one or more commercial interests:
Method of Participation: Online Only
Estimated Time to Complete this Activity: 2 hours
Receiving CME Credit:
To receive online CME credit for this activity, read the full activity then complete the posttest and evaluation. A score of 70% or higher is required for successful completion. You will be able to print your CME certificate immediately following successful completion of the posttest and evaluation.
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