Echocardiographic detection of pulmonary embolism in transit: implications for institution of thrombolytic therapy.
Can J Cardiol
; 13(7): 685-7, 1997 Jul.
Article
em En
| MEDLINE
| ID: mdl-9251581
Right atrial or ventricular thrombi in patients with pulmonary embolism are emboli in transit and are a medical emergency because they are associated with a high mortality rate when treated conservatively with anticoagulation. The current standard therapy is less well accepted because of the risk of clot fragmentation and distal embolization. A case in which an unsuspected right ventricular thrombus was diagnosed by echocardiography is reported. This findings led to treatment with streptokinase (250,000 U, followed by 100,000 U/h for 24 h). Clinical improvement was rapidly obtained and the thrombus disappeared 10 h after the initial study. There was no complication. The case illustrates the utility of two-dimensional enchocardiography in the evaluation of patients with pulmonary embolic disease and the efficacy and safety of thrombolytic therapy in the treatment of pulmonary embolism in transit.
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Bases de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
/
Estreptoquinase
/
Terapia Trombolítica
/
Fibrinolíticos
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Can J Cardiol
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
1997
Tipo de documento:
Article