Overview
Select Acute Pulmonary Embolism · Severe Right Ventricular Failure under Clinical controls → Hemodynamic state. The bold italic live label confirms the active selection. These are the preset’s teaching features; combined disease, rate and interventions can change the resulting numbers.
Acute pulmonary arterial obstruction with severe RV failure, reduced LV filling and low forward perfusion. This is a high-risk PE phenotype; a saddle embolus alone does not establish hemodynamic severity.
High RAP/RVEDP with low-normal wedge and LVEDP localizes the dominant problem to RV afterload and forward flow.
PA pressure is moderately elevated despite high PVR; an acutely failing RV need not generate the very high pressures of chronic PH.
Tachycardia, AF or flutter are selectable presentations. Bradycardia, slow AF and junctional escape illustrate advanced peri-arrest deterioration, not routine PE.
Acute RV strain may cause RBBB, incomplete RBBB, S1Q3T3, S1S2S3 and anterior/inferior T inversion. None is diagnostic; an RVH pattern implies prior pressure loading.
Fibrinolysis demonstrates partial relief of pulmonary obstruction; coronary angioplasty does not treat PE.