background: the use of thrombolytic agents in the treatment of hemodynamically stable patients with acute submassive pulmonary embolism (pte) remains controversial. we, therefore, conducted this study to compare the effect of thrombolytic plus anticoagulation versus anticoagulation alone on early death and adverse outcome following submassive pte. methods: w e conducted a study of patients with...

introduction antiphospholipid syndrome (aps) associated with intra-cardiac thrombus and pulmonary embolism is infrequent. however, the presence of pleural effusion is extremely rare. case presentation a 42-year-old woman, admitted with palpitation, dyspnea and history of stroke and thrombocytopenia is described. doppler sonography revealed deep vein thrombosis. moreover, subsequent investigatio...

introduction: traumatic arteriovenous fistula (avf) called to an abnormal relationship between artery and vein which occurs in 10% of arterial traumas. if treatment of avf due to trauma delayed, different outcomes including heart failure, varices and varicose ulcers may accure. in case of chronic traumatic avf, open surgery may lead to remarkable outcomes, presence of many lateral veins and var...

Fat embolism syndrome refers to a constellation of symptoms secondary to the presence of fat globules in the lung parenchyma and/or peripheral blood circulation. The syndrome is most often seen in association with long bone or pelvic fractures and can cause significant morbidity and mortality. The present randomized double blind placebo-controlled trial was conducted to evaluate the efficacy of...

The clinical management of pulmonary embolism and deep venous thrombosis of the legs are similar and requires prolonged anticoagulation therapy. The standard diagnostic approach in patients suspected of pulmonary embolism is ventilation-perfusion (V/Q) lung scan and compression ultrasonography to detect deep venous thrombosis. This retrospective study analyzed the role of V/Q lung scan an...

fat embolism syndrome refers to a constellation of symptoms secondary to the presence of fat globules in the lung parenchyma and/or peripheral blood circulation. the syndrome is most often seen in association with long bone or pelvic fractures and can cause significant morbidity and mortality. the present randomized double blind placebo-controlled trial was conducted to evaluate the efficacy of...

introduction: pulmonary embolism (pe) is a common lethal disease that its clinical symptoms may be seen in many other diseases. computed tomography pulmonary angiography (ctpa) is a valuable diagnostic modality for detection of pe. in addition, it can accurately detect the other diseases with clinical symptoms similar to pe. the aim of this study is to evaluate the frequency of pe and nonemboli...

we are presenting a case illustrating atrial fibrillation (af) following the use of methylprednisolone in a patient with pelvic and femur fracture. a 48- year- old man with no significant past medical history, was admitted to the emergency department after injury in a car accident. he suffered a multiple bone fracture with chief complaints of pain and shortness of breath. he was transferred to ...

microembolic signals (mes) are frequently observed in transcranial ‎doppler (tcd) recordings of patients with mechanical heart valve (mhv). if gaseous bubbles are the underlying cause, number of mes produced by mhv could be reduced with oxygen ‎inhalation. from september 2003 to september ‎2004, a consecutive series of 14 patients ‎with st jude aortic valve visited in the cardiology clinic were...