43 Resistance to Clot Lysis in Patients With Submassive Pulmonary Embolism
نویسندگان
چکیده
منابع مشابه
Elevated cardiac troponin levels in patients with submassive pulmonary embolism.
BACKGROUND Cardiac troponins are reliable markers of myocardial injury that are being used increasingly in patients presenting with undifferentiated chest pain or dyspnea to diagnose an acute coronary syndrome. If elevated cardiac troponin levels also occur in patients with pulmonary embolism because of right ventricular dilation and myocardial injury, such patients could be misdiagnosed. We pe...
متن کاملManagement of submassive pulmonary embolism.
Case presentation: A 58-year-old woman with a history of cigarette smoking, chronic obstructive pulmonary disease, and recent intensive care unit admission for pneumonia presented with sudden onset of right-sided chest discomfort and dyspnea. On physical examination, she was tachycardic (heart rate 110 beats per minute), normotensive (blood pressure of 128/72 mm Hg), tachypneic (24 breaths per ...
متن کاملHeparin plus alteplase compared with heparin alone in patients with submassive pulmonary embolism.
BACKGROUND The use of thrombolytic agents in the treatment of hemodynamically stable patients with acute submassive pulmonary embolism remains controversial. METHODS We conducted a study of patients with acute pulmonary embolism and pulmonary hypertension or right ventricular dysfunction but without arterial hypotension or shock. The patients were randomly assigned in double-blind fashion to ...
متن کاملRVAD Support in the Setting of Submassive Pulmonary Embolism.
Patients with submassive pulmonary embolism (PE), although normotensive, are characterized by right ventricular (RV) dysfunction and elevated levels of biomarkers of cardiac damage. The best treatment option in these cases is still a subject of debate and the use of thrombolysis in submassive PE remains controversial. A 57-year-old Caucasian male with unprovoked PE, normal blood pressure, and e...
متن کاملOveruse and underuse of pulmonary CT angiography in patients with suspected pulmonary embolism
Background: The aim of the present study was to evaluate the utilization and diagnostic yields of CT pulmonary angiography (CTPA) using the Revised Geneva score and Wells’ criteria, in patients with suspected pulmonary embolism (PE). Methods: One hundred and twelve adult patients underwent CTPA for suspected PE were participated in this study. The outcome was positive or neg...
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ژورنال
عنوان ژورنال: Annals of Emergency Medicine
سال: 2014
ISSN: 0196-0644
DOI: 10.1016/j.annemergmed.2014.07.068