A floating thrombus of the right ventricle in severe massive pulmonary embolism.
Am J Emerg Med
; 26(9): 1071.e1-2, 2008 Nov.
Article
em En
| MEDLINE
| ID: mdl-19091293
ABSTRACT
Floating right heart thrombus (FRHT) is a severe presentation of thromboembolic disease and usually coexists with massive pulmonary embolism. Patients with FRHT are more hemodynamically compromised and usually have a higher mortality rate than patients without FRHT. An echocardiographic finding of FRHT is important because it identifies as poor prognosis. The optimal treatment in patients with FRHT remains uncertain. Heparin is more often an anticoagulant than a lytic agent. Several studies suggested that thrombolytic therapy has advantages in treating such patients. Early diagnosis and emergency therapy are important in treating patients with FRHT in the emergency department and they might have fatal outcomes when treated only with heparin.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
/
Trombose
/
Cardiopatias
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
Am J Emerg Med
Ano de publicação:
2008
Tipo de documento:
Article