Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
Abstrak
ABSTRACT We present the case of a 42‐year‐old woman on oral contraceptives that presented to the emergency department with pain and swelling in the left lower limb. Diagnosis of extensive deep vein thrombosis was established. A few minutes later, she exhibited signs of shock and hemodynamic instability, thus raising suspicion of high‐risk acute pulmonary thromboembolism. Prior to the administration of fibrinolytic treatment, a bedside transthoracic echocardiography was performed that excluded right ventricular dilatation. Then, the study was complemented with a thoraco‐abdominal computed tomography scan that demonstrated a large retroperitoneal hematoma as the cause of the shock. In conclusion, a transthoracic echocardiography should be performed before initiating thrombolytic therapy in hemodynamically instable patients with strong suspicion of high‐risk pulmonary embolism.
Topik & Kata Kunci
Penulis (6)
Nuria Rodríguez‐Núñez
Alejandra Virgós‐Pedreira
Alfonso Illade‐Fornos
Lucía Ferreiro‐ Fernández
María E. Toubes‐Navarro
Luis Valdés‐Cuadrado
Akses Cepat
- Tahun Terbit
- 2025
- Sumber Database
- DOAJ
- DOI
- 10.1002/rcr2.70098
- Akses
- Open Access ✓