Thrombolytic Therapy in a Patient with Extensive Pulmonary Embolism Complicated by Cardiac Arrest | Chapter 26 | Issues and Developments in Medicine and Medical Research Vol. 9

 After cerebrovascular accidents and myocardial infarction, pulmonary embolism is the third most common cause of mortality. This condition can develop as a result of a thromboembolic event that occurs as a result of recent immobilisation. Massive pulmonary thromboembolism (MPT) is a potentially fatal illness that can result in cardiac arrest, stroke, and death. The patient in this case report is a 60-year-old obese diabetic male who was taken to the emergency room with complaints of shortness of breath and exhaustion. Following a work-related knee injury, the patient was diagnosed with a meniscal and anterior cruciate ligament tear. S1 Q3 T3 was seen on an echocardiogram, and a transthoracic echocardiography revealed considerable right ventricular dilation and heart strain. D Dimer levels were found to be greater in the lab, and a computed tomography lung angiography was also performed. At the bifurcation, an evident saddle-shaped pulmonary artery (PA) embolism was discovered, which extended to both the right and left pulmonary arteries. The patient's abrupt deterioration due to cardiogenic shock was caused by this massive pulmonary embolism. For 18 minutes, the patient experienced nine cycles of cardiac irregularity and was treated with cardiopulmonary resuscitation and thrombolytic treatment. The diagnosis of pulmonary embolism was made based on the patient's history of knee injury immobilisation and the clinical picture of shortness of breath and tachycardia. The patient was diagnosed and treated with thrombolytic treatment and CPR to relieve cardiac arrest caused by pulmonary embolism and subglottal laryngeal edoema in this case study.

Author(S) Details

Hesham Hussien Aly
Critical care Unit, Madinat Zayed Hospital, United Arab Emirates.

Ashraf Alakkad
Internal Medicine Unit, Madinat Zayed Hospital, United Arab Emirates.

Mohamed Abdel Rahman El. Hussein
Internal Medicine Unit, Madinat Zayed Hospital, United Arab Emirates.

Noor Ullah Hussaini
Cardiology Unit, Madinat Zayed Hospital, United Arab Emirates.

Shanavaskhan Shamsudeenkutty
Cardiology Unit, Madinat Zayed Hospital, United Arab Emirates.

Ahmed Essam Mohammad
Critical care Unit, Madinat Zayed Hospital, United Arab Emirates.

Mostafa Mohamed Ezzeldin
Critical care Unit, Madinat Zayed Hospital, United Arab Emirates.

Lubna Suboohi
Cardiology Unit, Madinat Zayed Hospital, United Arab Emirates.

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