Template:PE types

PE Types

Massive

• Cardiac arrest
• Sustained hypotension (sys BP <90 for at least 15min or requiring inotropic support)
• Persistent profound bradycardia (HR <40 with signs of shock)

Submassive

• Sys BP >90 but with either RV dysfunction or myocardial necrosis
• RV dysfunction
  • RV dilation or dysfunction on TTE
  • RV dilation on CT
  • Elevation of BNP (>90)
  • ECG: new complete or incomplete RBBB, anteroseptal ST elevation/depression or TWI
  • Myocardial necrosis: Troponin I >0.4

Non-Massive

• No hemodynamic compromise and no RV strain

Sub-Segmental

• Limited to the subsegmental pulmonary arteries