Early ultrasonographic detection of massive pulmonary emboli
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A 52-year-old female patient with a history of hypertension and a recently performed right knee arthroscopy consulted to our emergency department with severe shortness of breath, tachycardia, tachypnea and oxygen saturation of 80%. Ten minutes after admission, the patient suffered cardiac arrest with pulseless electrical activity (PEA). Cardiopulmonary resuscitation was initiated immediately, and a heart ultrasound was performed. Right dilated ventricle, interventricular septum flattening, and paradoxical movement was evidenced. Accordingly, the attending physician decided to start thrombolytic therapy (alteplase 50 mg bolus). After 5 min, the patient returned to spontaneous circulation and care was continued in the Intensive Care Unit. Two weeks later, she was discharged from the hospital without any sequela...

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