Submassive Pulmonary Embolism: A Re-evaluation of Hemodynamic Instability
| Autor: | Megan Obi, Clifford D. Packer |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Tachycardia
medicine.medical_specialty pulmonary embolism Deep vein 030204 cardiovascular system & hematology Hypoxemia 03 medical and health sciences 0302 clinical medicine Internal medicine Internal Medicine medicine In patient anticoagulation business.industry General Engineering hemodynamic instability medicine.disease Thrombosis Pulmonary embolism medicine.anatomical_structure Shock (circulatory) Cardiology pe medicine.symptom business 030217 neurology & neurosurgery thrombolytics Hemodynamic instability |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Current medical management of pulmonary embolism (PE) is driven by risk stratification, with thrombolytic treatment reserved for patients with hemodynamic instability. We describe a case of a man with acute submassive bilateral pulmonary emboli and a right popliteal deep vein thrombosis (DVT), who had persistent shortness of breath, tachycardia, and hypoxemia but remained normotensive and was therefore not treated with thrombolytics until he suffered a fatal cardiac arrest on hospital day six. We examine the indications, risks, and potential benefits of thrombolytic treatment in patients with submassive PE who exhibit signs of instability but do not meet current indications for thrombolytic treatment with persistent hypotension or shock. |
| Databáze: | OpenAIRE |
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