Tenecteplase for massive pulmonary embolism in a 92-year-old man

The decision to treat an elderly patient with massive pulmonary embolism with thrombolytic therapy is not easy due to the risk for hemorrhagic complications, increasing for each incremental year of age. We report the case of a 92-year-old male, referred to the emergency department after recurrence o...

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Bibliographic Details
Published in:	Italian heart journal. Supplement : official journal of the Italian Federation of Cardiology Vol. 6; no. 6; p. 390
Main Authors:	Allocca, Giuseppe, Dall'Aglio, Vittorio, Nicolosi, Gian Luigi
Format:	Journal Article
Language:	Italian
Published:	Italy 01-06-2005
Subjects:	Aged Aged, 80 and over Echocardiography Electrocardiography Fibrinolytic Agents - therapeutic use Humans Male Pulmonary Embolism - diagnostic imaging Pulmonary Embolism - drug therapy Pulmonary Embolism - physiopathology Tissue Plasminogen Activator - therapeutic use Treatment Outcome
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Summary:	The decision to treat an elderly patient with massive pulmonary embolism with thrombolytic therapy is not easy due to the risk for hemorrhagic complications, increasing for each incremental year of age. We report the case of a 92-year-old male, referred to the emergency department after recurrence of syncopal episodes. Echocardiography proved to be very useful to make diagnosis of massive pulmonary embolism. Thrombolytic therapy with tenecteplase was successful and resulted in early thrombus resolution and hemodynamic stability, with no major complications.
ISSN:	1129-4728