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Normotensive patients with PE may be stratified to an intermediate risk by elevated cardiac biomarkers (troponin and natriuretic peptides) or CT or echocardiographic evidence of RVS (right ventricular dilatation, interventricular septal bowing, and on echocardiography, right ventricular systolic dysfunction).
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ct. A retrospective cardiac gated CTA with calcium score confirmed a large calcified lesion at LV apex. It is most likely a calcified thrombus. No obvious apical aneurysm was seen, Case Discussion. The patient did not have a known history of coronary artery disease (CAD) but was at high risk for CAD due to the history of tobacco and drug use.
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