scholarly journals Urgent bedside echocardiography in diagnosis of acute massive pulmonary embolism presenting with cardiogenic shock – case report

2013 ◽  
Vol 8 (5-6) ◽  
pp. 216-216
Author(s):  
Irena Peovska ◽  
Elizabeta Srbinovska-Kostovska ◽  
Marijan Bosevski
2005 ◽  
Vol 62 (7-8) ◽  
pp. 581-585 ◽  
Author(s):  
Ratko Lasica ◽  
Jovan Perunicic ◽  
Igor Mrdovic ◽  
Radan Stojanovic ◽  
Zorana Vasiljevic

Background. Despite advances in prophylaxis, diagnostic modalities, and therapeutic options, pulmonary embolism remains a commonly undiagnosed entity with lethal outcome. Clinically, pulmonary embolism ranges from massive thromboembolism with cardiogenic shock to asymptomatic, microebolism with anatomically small emboli without hemodynamic, respiratory or other disturbances. Case report. A patient with massive pulmonary embolism complicated with ventricular fibrillation, respiratory arrest and cardiogenic shock was treated with a total dose of 3 750 000 IU of intravenous streptokinase in the 8- hour time period. After successful cardiopulmonary resuscitation, and thrombolytic therapy, the patient regained hemodynamic stability six hours after admission; all clinical and electrocardiographic signs of the right ventricle insufficiency disappeared. Conclusion. This case report suggested that treatment with the high-dose of streptokinase could be beneficial in the patients with massive pulmonary embolism complicated with cardiogenic shock, which must be confirmed by further randomized trials.


2021 ◽  
Vol 8 ◽  
Author(s):  
Joanne Michelle Gomez ◽  
Mary Potkonjak ◽  
Maria Isabel Planek ◽  
Prutha Lavani ◽  
Karolina Marinescu ◽  
...  

COVID-19 disease, while primarily a respiratory disease, has proven itself a multi-system disorder with profound cardiovascular sequelae. In patients with SARS-CoV-2 infection, effective early diagnosis and management of concomitant cardiovascular manifestations of the disease are key to favorable outcomes. Here we present a case series of three patients with varied cardiovascular presentations of severe COVID-19 illness: cardiogenic shock from Takotsubo cardiomyopathy, arrhythmia in a patient with suspected hydroxychloroquine-associated cardiomyopathy, and right-sided heart failure with obstructive shock in the setting of massive pulmonary embolism. Through our experience, we aim to provide a better understanding of the unique spectrum of the cardiovascular effects of severe COVID-19 disease to guide management of the critically ill.


CHEST Journal ◽  
2019 ◽  
Vol 155 (4) ◽  
pp. 282A
Author(s):  
S. Chinni ◽  
S. kashyap ◽  
A. patel ◽  
M. Kalinowski ◽  
J. Chaiban ◽  
...  

2006 ◽  
Vol 1 (2) ◽  
pp. 167-170 ◽  
Author(s):  
Franca Dipaola ◽  
Isabella Cucchi ◽  
Nicola Filardo ◽  
Eleonora Carnovali ◽  
Nicola Montano ◽  
...  

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