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" Bedside Echocardiography for Undifferentiated Hypotension: Diagnosis of a Right Heart Thrombus "


Document Type : AL
Record Number : 933657
Doc. No : LA2bc147nw
Language of Document : English
Main Entry : Kenny, James F.; Zhong, Xun; Brown, Cara; Das, Devjani; Royall, Brock; Kapoor, Monica
Title & Author : Bedside Echocardiography for Undifferentiated Hypotension: Diagnosis of a Right Heart Thrombus [Article]\ Kenny, James F.; Zhong, Xun; Brown, Cara; Das, Devjani; Royall, Brock; Kapoor, Monica
Title of Periodical : Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number : 16/1
Date : 2015
Abstract : A free-floating right heart thrombus is often a harbinger of a massive pulmonary embolism and must be diagnosed and treated rapidly in order to avoid significant adverse sequelae. We present the case of an 84-year-old female who presented with two days of dyspnea and was hypotensive on arrival. Bedside ultrasound was performed by the emergency physician and showed a large, mobile right heart thrombus leading to immediate administration of a thrombolytic. In this case, bedside ultrasound was utilized to help further delineate clinical care in a progressively worsening patient, leading to a potentially lifesaving treatment. [West J Emerg Med. 2015;16(1):–0.]
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2bc147nw_28954.pdf
2bc147nw.pdf
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