Case Report

Double Bolus Alteplase Therapy during Cardiopulmonary Resuscitation for Cardiac Arrest due to Massive Pulmonary Embolism Guided by Focused Bedside Echocardiography

Figure 1

Transthoracic echocardiogram obtained before administration of t-PA: apical views showing a severely dilated right ventricle (RV) with reduced right ventricular systolic function. RV free wall is hypokinetic and RV apical wall is hypercontractile (arrow; McConnell sign). Left ventricular size and systolic function are normal.