High-risk Pulmonary Embolism: Should We Be Less Patient with Thrombolytic Therapy?
نویسندگان
چکیده
منابع مشابه
High-risk Pulmonary Embolism: Should We Be Less Patient with Thrombolytic Therapy?
To the Editor We read the case report by Baha et al. (1) in the latest issue of Internal Medicine with great interest. In this case report, a patient with massive pulmonary embolism (PE) confirmed by thorax computed tomography (CT) angiography was successfully treated with thrombolytic therapy. Massive PE can lead to cardiac arrest (CA) in 41% of patients, and the mortality rate was reported to...
متن کاملShould systemic thrombolytic therapy be considered a first-line treatment in acute pulmonary embolism?
We read the article, entitled “Successful treatment of a pulmonary embolism with low-dose prolonged infusion of tissue-type plasminogen activator in a 37-year-old female in the early postoperative period,” by Aykan et al. (1) in Anatolian J Cardiol 2014; 14: 400-2. We believe that it can be a really good idea to administer low-dose thrombolytic agents in pulmonary embolism to minimize possible ...
متن کاملPulmonary Embolism Thrombolytic Therapy of Pulmonary Embolism A Meta-Analysis
OBJECTIVES We sought to assess the efficacy and safety of thrombolytic therapy in patients with an acute pulmonary embolism (PE). BACKGROUND Thrombolytic therapy is approved for the treatment of acute PE; however, the safety and efficacy of this therapy remain debated. METHODS A meta-analysis of randomized, controlled trials comparing thrombolytic agents with intravenous heparin in patients wit...
متن کامل[Thrombolytic therapy of acute pulmonary embolism].
Thrombolytic therapy accelerates the dissolution of acute pulmonary embolism and is potentially lifesaving. The goal of this article is to offer a critical analysis of the use of thrombolytic therapy in this setting. Guidelines have been written and modified and new ones have been published over the past several years. Although an evidence base exists, unanswered questions remain. Despite the p...
متن کاملThrombolytic therapy in a patient with suspected pulmonary embolism despite a negative computed tomography pulmonary angiogram.
We report a case of a 62-year-old male who presented to our intensive care unit with hypoxemia 6 hours after retinal surgery. He had a negative computed tomography (CT) pulmonary angiogram, but an emergency echocardiogram revealed the McConnell sign. He was thrombolysed and had rapid improvement in oxygenation and hemodynamics. Thrombolysis in hemodynamically unstable pulmonary embolism is not ...
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ژورنال
عنوان ژورنال: Internal Medicine
سال: 2017
ISSN: 0918-2918,1349-7235
DOI: 10.2169/internalmedicine.8202-16