Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department

The diagnosis of a right heart thrombus (RHTh) in transit associated with pulmonary embolism (PE) is an uncommon phenomenon with a high mortality rate. Timely recognition of RHTh with focused cardiac ultrasound (FOCUS) in cases of suspected PE is necessary for critical decision making in the emergen...

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Autores principales: Kalivoda, Eric J, Rivera Rodriguez, Kevin, Cabrera, Gabriel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Cardiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444960/
https://www.ncbi.nlm.nih.gov/pubmed/32850226
http://dx.doi.org/10.7759/cureus.9354
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author Kalivoda, Eric J
Rivera Rodriguez, Kevin
Cabrera, Gabriel
author_facet Kalivoda, Eric J
Rivera Rodriguez, Kevin
Cabrera, Gabriel
author_sort Kalivoda, Eric J
collection PubMed
description The diagnosis of a right heart thrombus (RHTh) in transit associated with pulmonary embolism (PE) is an uncommon phenomenon with a high mortality rate. Timely recognition of RHTh with focused cardiac ultrasound (FOCUS) in cases of suspected PE is necessary for critical decision making in the emergency department (ED). We present a case of RHTh with submassive PE in which the patient underwent successful catheter-directed thrombolysis. This case report illustrates the significance of an emergency physician (EP) implementing FOCUS during the initial ED evaluation to rapidly diagnose RHTh in transit and initiate PE therapy without delay.
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spelling pubmed-74449602020-08-25 Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department Kalivoda, Eric J Rivera Rodriguez, Kevin Cabrera, Gabriel Cureus Cardiology The diagnosis of a right heart thrombus (RHTh) in transit associated with pulmonary embolism (PE) is an uncommon phenomenon with a high mortality rate. Timely recognition of RHTh with focused cardiac ultrasound (FOCUS) in cases of suspected PE is necessary for critical decision making in the emergency department (ED). We present a case of RHTh with submassive PE in which the patient underwent successful catheter-directed thrombolysis. This case report illustrates the significance of an emergency physician (EP) implementing FOCUS during the initial ED evaluation to rapidly diagnose RHTh in transit and initiate PE therapy without delay. Cureus 2020-07-23 /pmc/articles/PMC7444960/ /pubmed/32850226 http://dx.doi.org/10.7759/cureus.9354 Text en Copyright © 2020, Kalivoda 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 Cardiology
Kalivoda, Eric J
Rivera Rodriguez, Kevin
Cabrera, Gabriel
Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department
title Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department
title_full Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department
title_fullStr Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department
title_full_unstemmed Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department
title_short Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department
title_sort right heart thrombus in transit diagnosed with focused cardiac ultrasound in the emergency department
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444960/
https://www.ncbi.nlm.nih.gov/pubmed/32850226
http://dx.doi.org/10.7759/cureus.9354
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AT cabreragabriel rightheartthrombusintransitdiagnosedwithfocusedcardiacultrasoundintheemergencydepartment

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