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Double Bolus Thrombolysis for Suspected Massive Pulmonary Embolism during Cardiac Arrest
Joint Authors
O’Connor, Gerard
Fitzpatrick, Gareth
El-Gammal, Ayman
Gilligan, Peadar
Source
Case Reports in Emergency Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
More than 70% of cardiac arrest cases are caused by acute myocardial infarction (AMI) or pulmonary embolism (PE).
Although thrombolytic therapy is a recognised therapy for both AMI and PE, its indiscriminate use is not routinely recommended during cardiopulmonary resuscitation (CPR).
We present a case describing the successful use of double dose thrombolysis during cardiac arrest caused by pulmonary embolism.
Notwithstanding the relative lack of high-level evidence, this case suggests a scenario in which recombinant tissue Plasminogen Activator (rtPA) may be beneficial in cardiac arrest.
In addition to the strong clinical suspicion of pulmonary embolism as the causative agent of the patient’s cardiac arrest, the extremely low end-tidal CO2 suggested a massive PE.
The absence of dilatation of the right heart on subxiphoid ultrasound argued against the diagnosis of PE, but not conclusively so.
In the context of the circulatory collapse induced by cardiac arrest, this aspect was relegated in terms of importance.
The second dose of rtPA utilised in this case resulted in return of spontaneous circulation (ROSC) and did not result in haemorrhage or an adverse effect.
American Psychological Association (APA)
O’Connor, Gerard& Fitzpatrick, Gareth& El-Gammal, Ayman& Gilligan, Peadar. 2015. Double Bolus Thrombolysis for Suspected Massive Pulmonary Embolism during Cardiac Arrest. Case Reports in Emergency Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058455
Modern Language Association (MLA)
O’Connor, Gerard…[et al.]. Double Bolus Thrombolysis for Suspected Massive Pulmonary Embolism during Cardiac Arrest. Case Reports in Emergency Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1058455
American Medical Association (AMA)
O’Connor, Gerard& Fitzpatrick, Gareth& El-Gammal, Ayman& Gilligan, Peadar. Double Bolus Thrombolysis for Suspected Massive Pulmonary Embolism during Cardiac Arrest. Case Reports in Emergency Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1058455
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1058455