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West J Emerg Med. 2015 Jan;16(1):178-80. doi: 10.5811/westjem.2014.12.23262. Epub 2014 Dec 11.

Bedside echocardiography for undifferentiated hypotension: diagnosis of a right heart thrombus.

Author information

1
Northwestern University, Emergency Medicine Residency, Chicago, Illinois.
2
Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York.

Abstract

A free-floating right heart thrombus is often a harbinger of a massive pulmonary embolism and must be diagnosed and treated rapidly in order to avoid significant adverse sequelae. We present the case of an 84-year-old female who presented with two days of dyspnea and was hypotensive on arrival. Bedside ultrasound was performed by the emergency physician and showed a large, mobile right heart thrombus leading to immediate administration of a thrombolytic. In this case, bedside ultrasound was utilized to help further delineate clinical care in a progressively worsening patient, leading to a potentially lifesaving treatment.

PMID:
25671037
PMCID:
PMC4307712
DOI:
10.5811/westjem.2014.12.23262
[Indexed for MEDLINE]
Free PMC Article

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