Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism

Massive pulmonary embolism (PE) is a life-threatening condition with a high mortality burden. The rapid diagnosis of PE can be supported with focused cardiac ultrasound (FOCUS) by identifying signs of right ventricular dysfunction (RVD). This case report describes a patient with hemodynamically unst...

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Detalles Bibliográficos
Autores principales: Au, Annie, Hsu, Patrick, McClure, Matthew, Cabrera, Gabriel, Kalivoda, Eric J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243659/
https://www.ncbi.nlm.nih.gov/pubmed/32461847
http://dx.doi.org/10.7759/cureus.7771
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author Au, Annie
Hsu, Patrick
McClure, Matthew
Cabrera, Gabriel
Kalivoda, Eric J
author_facet Au, Annie
Hsu, Patrick
McClure, Matthew
Cabrera, Gabriel
Kalivoda, Eric J
author_sort Au, Annie
collection PubMed
description Massive pulmonary embolism (PE) is a life-threatening condition with a high mortality burden. The rapid diagnosis of PE can be supported with focused cardiac ultrasound (FOCUS) by identifying signs of right ventricular dysfunction (RVD). This case report describes a patient with hemodynamically unstable massive PE who received systemic thrombolytic therapy. Emergency physicians performed serial FOCUS examinations to assess the resolution of RVD in guidance of clinical management.
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spelling pubmed-72436592020-05-26 Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism Au, Annie Hsu, Patrick McClure, Matthew Cabrera, Gabriel Kalivoda, Eric J Cureus Emergency Medicine Massive pulmonary embolism (PE) is a life-threatening condition with a high mortality burden. The rapid diagnosis of PE can be supported with focused cardiac ultrasound (FOCUS) by identifying signs of right ventricular dysfunction (RVD). This case report describes a patient with hemodynamically unstable massive PE who received systemic thrombolytic therapy. Emergency physicians performed serial FOCUS examinations to assess the resolution of RVD in guidance of clinical management. Cureus 2020-04-21 /pmc/articles/PMC7243659/ /pubmed/32461847 http://dx.doi.org/10.7759/cureus.7771 Text en Copyright © 2020, Au et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Au, Annie
Hsu, Patrick
McClure, Matthew
Cabrera, Gabriel
Kalivoda, Eric J
Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism
title Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism
title_full Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism
title_fullStr Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism
title_full_unstemmed Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism
title_short Serial Point-of-care Echocardiography Performed by an Emergency Physician to Guide Thrombolytic Management of Massive Pulmonary Embolism
title_sort serial point-of-care echocardiography performed by an emergency physician to guide thrombolytic management of massive pulmonary embolism
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243659/
https://www.ncbi.nlm.nih.gov/pubmed/32461847
http://dx.doi.org/10.7759/cureus.7771
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