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  • Bolečina v prsnem košu pri pljučni emboliji = Chest pain in pulmonary embolism
    Kržišnik-Zorman, Simona ; Okrajšek, Renata
    Chest pain as an initial presentation of pulmonary embolism occurs in about 70% of patients. In rare cases, pulmonary embolism may also mimic acute myocardial infarction, which was the case in our ... patient. This is a report about a patient included in a rehabilitation program after an ischemic cerebrovascular insult with right-sided hemiplegia and aphasia. He was admitted to our unit after syncope with documented hypotension and bradycardia. Upon admission, he had chest pain but was eupnoic and normotensive and his heart rate was 110/min. He had severe electrocardiographic changes suggesting extensive myocardial ischemia of the cardiac apex and lateral wall. Later, troponin T was slightly elevated (maximum 0.168 ng/1), but creatine kinase remained normal. An echocardiogram was immediately performed. While left ventricular function was normal without any wall motion abnormalities, the right ventricle was dilated with septal flattening. Doppler-derived pulmonary arterial systolic pressure was 87 mmHg. Pulmonary embolism was proven using a ventilation-perfusion scan and pulmonaryangiography. We were partially successful in the fragmentation and aspiration of thrombi from both pulmonary arteries. The patient was treated with heparin and warfarin. The outcome was favorable. This case highlights theimportance of early use of echocardiography in obtaining an accurate diagnosis, thus avoiding unnecessary and inappropriate treatment. The possiblepathophysiology of chest pain in pulmonary embolism is discussed.
    Vir: Zbornik predavanj (Letn. 41, suppl. 3, november 2002, str. 57-60)
    Vrsta gradiva - prispevek na konferenci
    Leto - 2002
    Jezik - slovenski
    COBISS.SI-ID - 16550617

vir: Zbornik predavanj (Letn. 41, suppl. 3, november 2002, str. 57-60)

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