The diagnosis of right heart thrombus by focused cardiac ultrasound in a critically ill patient in compensated shock.

IF 3.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Critical Ultrasound Journal Pub Date : 2015-05-13 eCollection Date: 2015-01-01 DOI:10.1186/s13089-015-0023-7
Mansour Jammal, Peter Milano, Renzo Cardenas, Thomas Mailhot, Diku Mandavia, Phillips Perera
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Abstract

Right heart thrombus (RHT) is a life-threatening diagnosis that is rarely made in the emergency department (ED), but with the increasing use of focused cardiac ultrasound (FocUS), more of these cases may be identified in a timely fashion. We present a case of an ill-appearing patient who had an immediate change in management due to the visualization of RHT soon after arrival to the ED. The diagnosis was confirmed after a cardiology-performed ultrasound (US). This case illustrates the value of the recognition of RHT on FocUS and how US protocols designed for the evaluation of shock and shortness of breath may potentially be expanded to patients in a 'compensated' or 'pre-shock' state to expedite the correct diagnosis and to facilitate more timely management.

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通过聚焦心脏超声诊断代偿性休克危重病人的右心血栓。
右心血栓(RHT)是一种危及生命的诊断,但在急诊科(ED)很少能确诊,但随着聚焦心脏超声(FocUS)的应用日益广泛,更多的此类病例可能会被及时发现。我们介绍了一例外观不佳的患者,在到达急诊科后不久就发现了 RHT,因此立即改变了治疗方案。经心脏科超声检查(US)后确诊。该病例说明了通过 FocUS 识别 RHT 的价值,以及如何将用于评估休克和呼吸急促的 US 方案扩展到处于 "代偿 "或 "休克前 "状态的患者,以加快正确诊断并促进更及时的管理。
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来源期刊
Critical Ultrasound Journal
Critical Ultrasound Journal RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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