Open AccessAcute Improvement in Right Ventricular Function after Treatment of Presumed Massive Pulmonary Embolism with Thrombolytics
Author(s) -
Brittain Evan L.,
Janz David R.,
Monahan Kenneth J.,
Sevin Carla M.
Publication year - 2012
Publication title -
pulmonary circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.791
H-Index - 40
ISSN - 2045-8940
DOI - 10.4103/2045-8932.105042
Subject(s) - medicine , pulmonary embolism , cardiology , ventricular function , hemodynamics , right heart , pulmonary hypertension , radiology
Acute massive pulmonary embolism results in a rise in pulmonary vascular resistance and acute right ventricular dilation and systolic dysfunction. In unstable patients who cannot safely undergo computed tomography, echocardiography can often provide direct and indirect evidence of pulmonary embolism. We present a case in which clinical and echocardiographic evidence provided sufficient evidence of PE to initiate treatment. Dynamic improvement in hemodynamics and echocardiographic parameters of RV function indicated successful treatment.