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Pregled bibliografske jedinice broj: 929329

Medicamentous thrombolysis disguises pulmonary thromboembolism as a cause of death


Šoša, Ivan; Ferenčić, Antun; Stemberga, Valter; Zamolo, Gordana; Arbanas, Silvia; Dasek, Ivan; Perković, Manuela; Cuculić, Dražen
Medicamentous thrombolysis disguises pulmonary thromboembolism as a cause of death // Journal of biological regulators & homeostatic agents, 32 (2018), 2; 289-293 (međunarodna recenzija, pismo, stručni)


CROSBI ID: 929329 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Medicamentous thrombolysis disguises pulmonary thromboembolism as a cause of death

Autori
Šoša, Ivan ; Ferenčić, Antun ; Stemberga, Valter ; Zamolo, Gordana ; Arbanas, Silvia ; Dasek, Ivan ; Perković, Manuela ; Cuculić, Dražen

Izvornik
Journal of biological regulators & homeostatic agents (0393-974X) 32 (2018), 2; 289-293

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, pismo, stručni

Ključne riječi
alteplase, autopsy ; pulmonary thromboembolism

Sažetak
In this case report, we report on a 31-year-old female patient who was admitted to emergency department with symptoms of cardiac arrest and ultimately died in spite of enormous resuscitation efforts. During resuscitation, pulmonary embolism was considered as a possible noncardiac cause of cardiac arrest and following its extremely unfavorable prognosis ; the fatal outcome was not so surprising. However, since acute pulmonary emboli obstructing blood flow to a lobe or multiple lung segments was suspected, alteplase was indicated and administered. On the autopsy, no venous thrombosis in the vena cava, pelvic veins, or any of the lower extremity veins was documented ; conversely, neither specific sign of pulmonary thromboembolism (PTE) was found macroscopically, until it was confirmed by histopathological staining that is not used as a routine diagnostic tool. In this study, we conclude that PTE is generally overlooked as the principal diagnosis and the cause of death. Rightful postmortem diagnosis could lead to increased vigilance and a change in management in many of such cases, what could result in improved survival. Motivated by providing better awareness of PTE, this study aimed to illustrate unrecognized PTE and pathological findings that were masked by thrombolytic drugs.

Izvorni jezik
Engleski



POVEZANOST RADA


Ustanove:
Medicinski fakultet, Rijeka

Profili:

Avatar Url Dražen Cuculić (autor)

Avatar Url Valter Stemberga (autor)

Avatar Url Gordana Zamolo (autor)

Avatar Url Ivan Šoša (autor)

Citiraj ovu publikaciju

Šoša, Ivan; Ferenčić, Antun; Stemberga, Valter; Zamolo, Gordana; Arbanas, Silvia; Dasek, Ivan; Perković, Manuela; Cuculić, Dražen
Medicamentous thrombolysis disguises pulmonary thromboembolism as a cause of death // Journal of biological regulators & homeostatic agents, 32 (2018), 2; 289-293 (međunarodna recenzija, pismo, stručni)
Šoša, I., Ferenčić, A., Stemberga, V., Zamolo, G., Arbanas, S., Dasek, I., Perković, M. & Cuculić, D. (2018) Medicamentous thrombolysis disguises pulmonary thromboembolism as a cause of death. Journal of biological regulators & homeostatic agents, 32 (2), 289-293.
@article{article, year = {2018}, pages = {289-293}, keywords = {alteplase, autopsy, pulmonary thromboembolism}, journal = {Journal of biological regulators and homeostatic agents}, volume = {32}, number = {2}, issn = {0393-974X}, title = {Medicamentous thrombolysis disguises pulmonary thromboembolism as a cause of death}, keyword = {alteplase, autopsy, pulmonary thromboembolism} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE





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