OBJECTIVE Pulseless electrical activity (PEA) during cardiac arrest portends a poor prognosis. There is a paucity of data in the use of thrombolytic therapy in PEA and cardiopulmonary arrest due to confirmed pulmonary embolism (PE). We evaluated the outcome of low-dose systemic thrombolysis with tissue plasminogen activator (tPA) in patients presenting with PEA due to PE. METHODS During a 34-...

Komatsu S, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220059 An 83-year-old woman with a history of pulmonary thromboembolism 10 years ago was referred for dyspnea. Anticoagulation therapy was terminated by her family doctor 3 years previously. On admission, D-dimer level was 16.6 μg/mL and arterial blood gas showed 88.1% on room air. Pulmonary arteriography (PAG) revealed some filling defe...

Although thromboembolic phenomena are frequent complications in lower-limb surgery, there are only two cases of pulmonary thromboembolism following shoulder arthroscopy in the literature. We describe the case of a 76-year-old patient with pulmonary embolism in both lungs after shoulder arthroscopy. No vascular abnormalities were found and no origin for the thrombus was detected. The exact cause...

BACKGROUND The incidence of venous thromboembolism has not been well described, and there are no studies of long-term trends in the incidence of venous thromboembolism. OBJECTIVES To estimate the incidence of deep vein thrombosis and pulmonary embolism and to describe trends in incidence. METHODS We performed a retrospective review of the complete medical records from a population-based inc...

INTRODUCTION Rapid diagnosis and treatment of deep vein thrombosis and pulmonary thromboembolism reduce mortality and morbidity. The aim of this study is to investigate delays in treatment of deep vein thrombosis and pulmonary thromboembolism and related factor in a developing country. MATERIALS AND METHODS We prospectively investigated 353 patients with diagnosis deep vein thrombosis and/or ...

PATIENT Female, 51. FINAL DIAGNOSIS Sticky platelets syndrome. SYMPTOMS Pulmonary embolism. MEDICATION - CLINICAL PROCEDURE Thrombolysis. SPECIALTY Hematology. OBJECTIVE Disease of unknown ethiology. BACKGROUND Sticky platelets syndrome (SPS) is an inherited thrombophilia characterized by platelet hyperaggregability, which can lead to the higher risk of thrombosis. The etiology of...

BACKGROUND Although pulmonary infarction is usually associated with pulmonary thromboembolism, it can occur with other disorders such as vasculitis, angioinvasive infections, sickle-cell disease, tumor embolism, and pulmonary torsion. STUDY OBJECTIVE To identify causes and presenting features of pulmonary infarctions diagnosed by surgical biopsy in a consecutive series of patients encountered...

A 29-year-old woman was admitted to the emergency room of our hospital with sudden dyspnea and pleuritic pain. Ten months previously she had had a normal full term delivery, after which she experienced deep venous thrombosis. At emergency room admission, her heart rate was 110 bpm and blood pressure was 90/69 mmHg. An S1Q3T3 pattern was observed on electrocardiography. Computed tomography (CT) ...