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Is right heart thromboemboli another indication for thrombolysis?
Author(s) -
Agarwal R.,
Aggarwal A. N.,
Gupta D.
Publication year - 2007
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/j.1445-5994.2007.01352.x
Subject(s) - medicine , thrombolysis , pulmonary embolism , right heart , presentation (obstetrics) , cardiology , intensive care medicine , heart disease , heart failure , radiology , myocardial infarction
Pulmonary embolism (PE) is a common and a potentially life‐threatening disease. Diagnosis is challenging because the signs and symptoms are non‐specific. Moreover treatment of PE is shrouded in controversy. Even at presentation the role of thrombolysis in managing patients with PE remains unclear. In those patients with right heart thromboemboli, thrombolysis is usually suggested, but the evidence remains unclear. We report a 34‐year‐old man who was diagnosed with right heart thromboemboli on echocardiography and was successfully managed with thrombolysis and anticoagulation. We also review the current published work on the management of patients with right heart thromboemboli.