Abstract

WILCHES, Nicolás et al. Thrombolysis during cardiopulmonary resuscitation in massive pulmonary embolism. Rev. Colomb. Cardiol. [online]. 2018, vol.25, n.2, pp.152-152. ISSN 0120-5633.  https://doi.org/10.1016/j.rccar.2017.07.008.

Pulmonary thromboembolism (PE) is part of venous thromboembolic disease, along with deep venous thrombosis (DVT). It has a high morbidity and mortality, particularly if it is not diagnosed and / or treated in a timely manner. The diagnosis is difficult due to its variable and unspecific clinical presentation.

In the context of high-risk PE, which presents as a life-threatening condition and requires immediate intervention to have an impact on the prognosis of patients, thrombolysis is an alternative in those with haemodynamic instability or even cardiac arrest, if they have no contraindications for performing this. The case is presented of a 54 year old man who consulted in the emergency department after presenting with syncope followed by chest pain, preceded by 15 days of pain and oedema in the calf. The patient deteriorated rapidly, evolving to cardiopulmonary arrest. A high-risk PE was diagnosed by echocardiography, resuscitation manoeuvres were initiated, and thrombolytic therapy given in parallel. Subsequently the patient had a satisfactory outcome with the therapy.

Keywords : Pulmonary embolism; Thrombolysis; Cardiopulmonary resuscitation.

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