S Mohammed Mahaboob Pasha, Bony Baiju, Boban Varghese, Ajin A Sunny
{"title":"A Case of Acute Massive Pulmonary Embolism with Multiple Cardiac Arrests and Successful Systemic Thrombolysis.","authors":"S Mohammed Mahaboob Pasha, Bony Baiju, Boban Varghese, Ajin A Sunny","doi":"10.4103/aam.aam_273_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Massive pulmonary embolism (PE) is a potential noncardiac cause of cardiac arrest with unfavorable prognosis. Maintaining a high degree of clinical suspicion, use of bedside focused cardiac ultrasound and computed tomography pulmonary angiography (CTPA) aid in rapid management. Thrombolytic therapy with anticoagulation is indicated in treatment of massive PE provided that there are no contraindications and there is low risk of bleeding. We present a case of massive PE with multiple cardiac arrests who successfully responded to systemic thrombolysis along with anticoagulation, barring a moderate bleeding complication.</p>","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":" ","pages":""},"PeriodicalIF":0.6000,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of African Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/aam.aam_273_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Massive pulmonary embolism (PE) is a potential noncardiac cause of cardiac arrest with unfavorable prognosis. Maintaining a high degree of clinical suspicion, use of bedside focused cardiac ultrasound and computed tomography pulmonary angiography (CTPA) aid in rapid management. Thrombolytic therapy with anticoagulation is indicated in treatment of massive PE provided that there are no contraindications and there is low risk of bleeding. We present a case of massive PE with multiple cardiac arrests who successfully responded to systemic thrombolysis along with anticoagulation, barring a moderate bleeding complication.
摘要:大面积肺栓塞(PE)是导致心脏骤停的潜在非心脏原因,预后不良。临床上应保持高度怀疑,使用床旁心脏聚焦超声和计算机断层扫描肺动脉造影(CTPA)有助于快速处理。在治疗大面积 PE 时,如果没有禁忌症且出血风险较低,可采用溶栓治疗和抗凝治疗。我们介绍了一例伴有多次心跳骤停的大面积肺栓塞患者,该患者成功接受了全身溶栓和抗凝治疗,除中度出血并发症外,无其他并发症。
期刊介绍:
The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.