• Dilatation of the right ventricle
  • Impaired right ventricular function 
  • Flattened intraventricular septum
  • Distended inferior vena cava with diminished inspiratory collapsibility 
  • Tricuspid regurgitation
  • Mobile thrombus in the right heart

Dilatation of the right ventricle

  • Basal RV/LV > 1.0 
  • RV >4cm at the base in the 40 chamber view

Impaired right ventricular function

  • Tricuspid annular plane systolic excursion (TAPSE) <16 mm
  • May be evident on visual evaluation

McConnel’s sign

  • Normokinesia and/or hypokinesia of the apical segment of the RV free wall despite hypokinesia and/or akinesia of the remaining parts of the RV free wall

Flattened intraventricular septum

Distended inferior vena cava with diminished inspiratory collapsibility

Tricuspid regurgitation

  • Velocity greater than 2.7 m/sec by colour doppler flow imaging

Mobile thrombus in the right heart