| Title: |
ACUTE PULMONARY EMBOLISM: NEW HORIZONS IN CAT LAB |
| Authors: |
Valenti, G; Monello, A; Rusticali, G; Losi, L; Bolognesi, G; Aschieri, D |
| Source: |
European Heart Journal Supplements ; volume 26, issue Supplement_2, page ii110-ii110 ; ISSN 1520-765X 1554-2815 |
| Publisher Information: |
Oxford University Press (OUP) |
| Publication Year: |
2024 |
| Description: |
Pulmonary embolism (PE) has an incidence of 30–100 cases per 100,000 inhabitants per year and is one of the main causes of cardiovascular mortality.The 2019 ESC guidelines suggest treating patients at intermediate–high risk with heparin, discouraging thrombolysis and leaving embolectomy to the clinician‘s judgment in case of impending hemodynamic instability. The case involves a patient with intermediate–high risk PE,and how the cardiologist‘s intuition was supported by the multidisciplinary team‘s work to ensure timely treatment. Clinical Case A 75–year–old female with systemic hypertension, recently discharged with a pneumonia diagnosis,presented to the Emergency Department complaining of dyspnea. The CT angiogram showed PE with a saddle thrombus occupying a significant portion of the main pulmonary arterial branches, severe right ventricular dilation (baseline diameter 50 mm, 44 mm RVOT average, TAPSE 16 mm),dilated vena cava; stable hemodynamics (BP 120/90 mmHg), slightly elevated troponin I (73.4 ng/L, normal range |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/eurheartjsupp/suae036.271 |
| Availability: |
https://doi.org/10.1093/eurheartjsupp/suae036.271; https://academic.oup.com/eurheartjsupp/article-pdf/26/Supplement_2/ii110/57683699/suae036.271.pdf |
| Rights: |
https://academic.oup.com/pages/standard-publication-reuse-rights |
| Accession Number: |
edsbas.CF3AFA4D |
| Database: |
BASE |