Caught in the Clot: A Case Report of Arrested Pulmonary Embolism

被引:0
作者
Thakkar, Dhruvkumar [1 ]
Shinde, Varsha [1 ]
机构
[1] Dr D Y Patil Vidyapeeth Deemed Univ, Dr D Y Patil Med Coll Hosp & Res Ctr, Emergency Med, Pune, India
关键词
clot; embolism; thrombolysis; pe; pte; pulmonary embolism; pulseless electrical activity; cardiac arrest; thrombolytic therapy; deep vein thrombosis; CARDIOPULMONARY-RESUSCITATION; CARDIAC-ARREST; EMPEROR;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pulmonary embolism (PE) is a life-threatening condition resulting from the obstruction of pulmonary arteries by blood clots, usually originating from deep veins. Symptoms of PE might vary from nothing to sudden death. Clinically, individuals may present very differently. When a diagnosis of PE is suspected, any possible life-saving intervention must be implemented because survival from cardiac arrest following PE is often quite low. Although there are not many randomized controlled trials that provide guidelines for treating suspected PE in cardiac arrest victims, the few published case reports and other minor studies suggest that thrombolysis and other therapies are associated with good outcomes. We report a patient with PE who presented in cardiac arrest with its clinical, electrographic, and radiologic findings, along with the appropriate therapy chosen based on hemodynamic stability. It is important to intervene early to prevent severe complications and improve the patient's outcomes.
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共 20 条
[1]   Derivation and validation of a prognostic model for pulmonary embolism [J].
Aujesky, D ;
Obrosky, DS ;
Stone, RA ;
Auble, TE ;
Perrier, A ;
Cornuz, J ;
Roy, PM ;
Fine, MJ .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 172 (08) :1041-1046
[2]   Thrombolysis during cardiopulmonary resuscitation in fulminant pulmonary embolism:: A review [J].
Bailén, MR ;
Cuadra, JAR ;
de Hoyos, EA .
CRITICAL CARE MEDICINE, 2001, 29 (11) :2211-2219
[3]   Part 4: Advanced Life Support 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations [J].
Callaway, Clifton W. ;
Soar, Jasmeet ;
Aibiki, Mayuki ;
Bottiger, Bernd W. ;
Brooks, Steven C. ;
Deakin, Charles D. ;
Donnino, Michael W. ;
Drajer, Saul ;
Kloeck, Walter ;
Morley, Peter T. ;
Morrison, Laurie J. ;
Neumar, Robert W. ;
Nicholson, Tonia C. ;
Nolan, Jerry P. ;
Okada, Kazuo ;
O'Neil, Brian J. ;
Paiva, Edison F. ;
Parr, Michael J. ;
Wang, Tzong-Luen ;
Witt, Jonathan .
CIRCULATION, 2015, 132 (16) :S84-S145
[4]   Increasing rate of pulmonary embolism diagnosed in hospitalized children in the United States from 2001 to 2014 [J].
Carpenter, Shannon L. ;
Richardson, Troy ;
Hall, Matt .
BLOOD ADVANCES, 2018, 2 (12) :1403-1408
[5]  
Hampson N B, 1995, Semin Respir Infect, V10, P123
[6]   Low-dose tenecteplase during cardiopulmonary resuscitaion due to massive pulmonary embolism: a case report and review of previously reported cases [J].
Hefer, David Vaclav Fred ;
Munir, Aman ;
Khouli, Hassan .
BLOOD COAGULATION & FIBRINOLYSIS, 2007, 18 (07) :691-694
[7]  
HOPF HB, 1991, ANAESTHESIST, V40, P309
[8]   Antithrombotic Therapy for VTE Disease Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence- Based Clinical Practice Guidelines [J].
Kearon, Clive ;
Akl, Elie A. ;
Comerota, Anthony J. ;
Prandoni, Paolo ;
Bounameaux, Henri ;
Goldhaber, Samuel Z. ;
Nelson, Michael E. ;
Wells, Philip S. ;
Gould, Michael K. ;
Dentali, Francesco ;
Crowther, Mark ;
Kahn, Susan R. .
CHEST, 2012, 141 (02) :E419S-+
[9]   Pulmonary embolism as cause of cardiac arrest -: Presentation and outcome [J].
Kürkciyan, I ;
Meron, G ;
Sterz, F ;
Janata, K ;
Domanovits, H ;
Holzer, M ;
Berzlanovich, A ;
Bankl, HC ;
Laggner, AN .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (10) :1529-1535
[10]   Part 10: Special Circumstances of Resuscitation 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care [J].
Lavonas, Eric J. ;
Drennan, Ian R. ;
Gabrielli, Andrea ;
Heffner, Alan C. ;
Hoyte, Christopher O. ;
Orkin, Aaron M. ;
Sawyer, Kelly N. ;
Donnino, Michael W. .
CIRCULATION, 2015, 132 (18) :S501-S518