Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism

We present the case of a 42-year-old woman on oral contraceptives that presented to the emergency department with pain and swelling in the left lower limb. Diagnosis of extensive deep vein thrombosis was established. A few minutes later, she exhibited signs of shock and hemodynamic instability, thus...

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Autores: Rodríguez Núñez, Nuria, Virgós-Pedreira, Alejandra, Illade-Fornos, Alfonso, Ferreiro Fernández, Lucía, Toubes Navarro, María Elena, Valdés Cuadrado, Luis
Formato: artículo
Fecha de publicación:2025
País:España
Recursos:Universidad de Santiago de Compostela (USC)
Repositorio:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
Idioma:inglés
OAI Identifier:oai:minerva.usc.gal:10347/45714
Acesso em linha:https://hdl.handle.net/10347/45714
Access Level:acceso abierto
Palavra-chave:Hemodynamic instability
Pulmonary embolism
Transthoracic echocardiography
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spelling Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary EmbolismRodríguez Núñez, NuriaVirgós-Pedreira, AlejandraIllade-Fornos, AlfonsoFerreiro Fernández, LucíaToubes Navarro, María ElenaValdés Cuadrado, LuisHemodynamic instabilityPulmonary embolismTransthoracic echocardiographyWe present the case of a 42-year-old woman on oral contraceptives that presented to the emergency department with pain and swelling in the left lower limb. Diagnosis of extensive deep vein thrombosis was established. A few minutes later, she exhibited signs of shock and hemodynamic instability, thus raising suspicion of high-risk acute pulmonary thromboembolism. Prior to the administration of fibrinolytic treatment, a bedside transthoracic echocardiography was performed that excluded right ventricular dilatation. Then, the study was complemented with a thoraco-abdominal computed tomography scan that demonstrated a large retroperitoneal hematoma as the cause of the shock. In conclusion, a transthoracic echocardiography should be performed before initiating thrombolytic therapy in hemodynamically instable patients with strong suspicion of high-risk pulmonary embolism.WileyUniversidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina20252025-02-1120252025-02-11journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10347/45714reponame:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostelainstname:Universidad de Santiago de Compostela (USC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2© 2025 The Author(s). Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology.http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:minerva.usc.gal:10347/457142026-06-15T12:47:27Z
dc.title.none.fl_str_mv Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
title Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
spellingShingle Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
Rodríguez Núñez, Nuria
Hemodynamic instability
Pulmonary embolism
Transthoracic echocardiography
title_short Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
title_full Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
title_fullStr Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
title_full_unstemmed Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
title_sort Importance of the Study of the Right Heart Chambers in Symptomatic Acute Pulmonary Embolism
dc.creator.none.fl_str_mv Rodríguez Núñez, Nuria
Virgós-Pedreira, Alejandra
Illade-Fornos, Alfonso
Ferreiro Fernández, Lucía
Toubes Navarro, María Elena
Valdés Cuadrado, Luis
author Rodríguez Núñez, Nuria
author_facet Rodríguez Núñez, Nuria
Virgós-Pedreira, Alejandra
Illade-Fornos, Alfonso
Ferreiro Fernández, Lucía
Toubes Navarro, María Elena
Valdés Cuadrado, Luis
author_role author
author2 Virgós-Pedreira, Alejandra
Illade-Fornos, Alfonso
Ferreiro Fernández, Lucía
Toubes Navarro, María Elena
Valdés Cuadrado, Luis
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade de Santiago de Compostela. Departamento de Psiquiatría, Radioloxía, Saúde Pública, Enfermaría e Medicina
dc.subject.none.fl_str_mv Hemodynamic instability
Pulmonary embolism
Transthoracic echocardiography
topic Hemodynamic instability
Pulmonary embolism
Transthoracic echocardiography
description We present the case of a 42-year-old woman on oral contraceptives that presented to the emergency department with pain and swelling in the left lower limb. Diagnosis of extensive deep vein thrombosis was established. A few minutes later, she exhibited signs of shock and hemodynamic instability, thus raising suspicion of high-risk acute pulmonary thromboembolism. Prior to the administration of fibrinolytic treatment, a bedside transthoracic echocardiography was performed that excluded right ventricular dilatation. Then, the study was complemented with a thoraco-abdominal computed tomography scan that demonstrated a large retroperitoneal hematoma as the cause of the shock. In conclusion, a transthoracic echocardiography should be performed before initiating thrombolytic therapy in hemodynamically instable patients with strong suspicion of high-risk pulmonary embolism.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-02-11
2025
2025-02-11
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10347/45714
url https://hdl.handle.net/10347/45714
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
instname:Universidad de Santiago de Compostela (USC)
instname_str Universidad de Santiago de Compostela (USC)
reponame_str Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
collection Minerva. Repositorio Institucional de la Universidad de Santiago de Compostela
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repository.mail.fl_str_mv
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