Massive Pulmonary Embolism
To the Editor: The Image in Clinical Medicine by van der Wouw and Bax (Feb. 6 issue) 1 is a striking example of massive, fatal pulmonary embolism following deep venous thrombosis. Echocardiographic imaging nicely demonstrates the thrombus in transit in the right heart chambers and the pulmonary arte...
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| Published in: | The New England journal of medicine Vol. 337; no. 1; pp. 53 - 54 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Massachusetts Medical Society
03-07-1997
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| Abstract | To the Editor:
The Image in Clinical Medicine by van der Wouw and Bax (Feb. 6 issue)
1
is a striking example of massive, fatal pulmonary embolism following deep venous thrombosis. Echocardiographic imaging nicely demonstrates the thrombus in transit in the right heart chambers and the pulmonary arteries. However, we disagree with the therapeutic strategy pursued by the treating physicians.
This elderly woman was recovering from a recent cerebral infarction when pulmonary embolism occurred. We believe that administering thrombolytic therapy with tissue plasminogen activator in this setting is dangerous, since it greatly increases the risk of cerebral hemorrhage. Stroke in the . . . |
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| AbstractList | To the Editor:
The Image in Clinical Medicine by van der Wouw and Bax (Feb. 6 issue)
1
is a striking example of massive, fatal pulmonary embolism following deep venous thrombosis. Echocardiographic imaging nicely demonstrates the thrombus in transit in the right heart chambers and the pulmonary arteries. However, we disagree with the therapeutic strategy pursued by the treating physicians.
This elderly woman was recovering from a recent cerebral infarction when pulmonary embolism occurred. We believe that administering thrombolytic therapy with tissue plasminogen activator in this setting is dangerous, since it greatly increases the risk of cerebral hemorrhage. Stroke in the . . . |
| Author | Silva, Lorenzo Goodman, Neville W Brinkhuis, Mariel van der Wouw, Poll A Cavero, Miguel A Bax, Matthijs |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/9213779$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/0735-1097(93)90418-Z 10.1056/NEJM199702063360605 10.1016/S0735-1097(96)00392-0 10.1148/radiology.180.1.2052680 10.1016/0140-6736(91)92042-Z 10.1055/s-0038-1642676 |
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| Copyright | Copyright © 1997 Massachusetts Medical Society. All rights reserved. |
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| References | 9010148 - N Engl J Med. 1997 Feb 6;336(6):416 r006 r008 Schmitz-Rode T (r003) 1991; 180 r002 ten Cate JW (r005) 1995; 74 L1 r004 Adams HP (r007) 1996; 27 r001 |
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| Snippet | To the Editor:
The Image in Clinical Medicine by van der Wouw and Bax (Feb. 6 issue)
1
is a striking example of massive, fatal pulmonary embolism following... |
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| StartPage | 53 |
| SubjectTerms | Aged Contraindications Female Humans Pulmonary Embolism - therapy Thrombolytic Therapy Thrombophlebitis - complications |
| Title | Massive Pulmonary Embolism |
| URI | http://dx.doi.org/10.1056/NEJM199707033370114 https://www.ncbi.nlm.nih.gov/pubmed/9213779 |
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