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Journals / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2018 / Cilt: 24 - Sayı: 3

Massive Pulmonary Embolism Related Cardiac Arrest and Successful Systemic Thrombolysis

Masif Pulmoner Emboliye Bağlı Kardiyak Arrest ve Başarılı Sistemik Tromboliz

Dostali ALİYEV
Cihan ŞAHİN
Onur ÖZLÜ
Pages
140–144
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Early systemic thrombolytic therapy is life-saving in hemodynamically unstable patients with acute massive pulmonary embolism.

📌 3 Key Takeaways

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Objective & Hypothesis:Contrast-enhanced chest computed tomography of 70- year-old man who presented with shortness of breath, progressive worsening of general condition demonstrated filling defects in both branches of main pulmonary arteries consistent with obstructing thrombi.
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Key Findings & Data:Resuscitation was performed for 55 minutes due to cardiac arrest developed in the patient who was ventilated due to respiratory insufficiency and simultaneously treated with recombinant tissue plasminogen activator-alteplase.
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Conclusion & Impact:Early systemic thrombolytic therapy is life-saving in hemodynamically unstable patients with acute massive pulmonary embolism.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Contrast-enhanced chest computed tomography of 70- year-old man who presented with shortness of breath, progressive worsening of general condition demonstrated filling defects in both branches of main pulmonary arteries consistent with obstructing thrombi. Resuscitation was performed for 55 minutes due to cardiac arrest developed in the patient who was ventilated due to respiratory insufficiency and simultaneously treated with recombinant tissue plasminogen activator-alteplase. The patient whose spontaneous circulation improved was observed at the intensive care unit for two days and then transferred to the cardiology service. Early systemic thrombolytic therapy is life-saving in hemodynamically unstable patients with acute massive pulmonary embolism.

Özet

Şiddetli nefes darlığı ve genel durum bozukluğu ile acil servise başvuran 70 yaşındaki erkek hastanın kontrastlı gögüş tomografisinde sağ ve sol ana pulmoner arterlerde, segmental ve subsegmental dallarda masif tromboemboli ile uyumlu dolma defektleri saptandı. Solunum yetmezliği nedeni ile mekanik ventilatör desteği sağlanan hastada kardiyak arest gelişmesine bağlı 55 dk. resusitasyon uygulanmasıyla eşzamanlı rekombinan doku plazminojen aktivatörü alteplaz ile trombolitik tedavi uygulandı. Spontan dolaşımı düzelen hasta 2 gün yoğun bakım ünitesinde gözlendikten sonra kardiyoloji servisine nakledildi. Akut masif pulmoner emboli tanısı alan ve hemodinamisi stabil olmayan hastalarda alteplaz ile erken sistemik trombolitik tedavi yaşam kurtarıcıdır.

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Cite This Article

ALİYEV, D., ŞAHİN, C., ÖZLÜ, O. (2018). Massive Pulmonary Embolism Related Cardiac Arrest and Successful Systemic Thrombolysis. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 24 - Sayı: 3, 140–144. https://ajindex.com/articles/161832

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