Excellent example of RV strain in a patient with massive pulmonary embolism. Credit to @EM_RESUS
"D-Sign" in a young man with Saddle PE
RV Strain flattens septum & smashes LV – looks like a Capital "D"
This is how PE Kills!#FOAMed pic.twitter.com/COejSPtTNA
— Sam Ghali, M.D. (@EM_RESUS) March 16, 2017