J Korean Soc Emerg Med.
2012 Aug;23(4):551-554.
A Massive Pulmonary Embolism with Hemodynamically Unstable Stroke Symptoms
- Affiliations
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- 1Department of Emergency Medicine, College of Medicine, Soonchunhyang University, Bucheon, Korea. choyoungsoon@hanafos.com
Abstract
- Pulmonary embolisms account for 13~25% of early deaths after stroke. Early diagnosis and appropriate management of thrombolysis are important, however, diagnosis is often difficult, and the consequences for patients can be severe. Echocardiography is useful for evaluation for massive pulmonary embolism, particularly in hemodynamically unstable patients. We report on a case involving a 67-year-old female patient in severe hemodynamic compromise, with an altered mental status and hemiparesis. Findings on brain computerized tomography (CT) showed acute infarction at the left middle cerebral artery territory and transthoracic echocardiography indicated a massive pulmonary embolism. Despite administration of conservative management, the patient died due to a cerebral complication.
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