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Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department. | LitMetric

Right Heart Thrombus in Transit Diagnosed With Focused Cardiac Ultrasound in the Emergency Department.

Cureus

Emergency Medicine, Hospital Corporation of America West Florida Graduate Medical Education Consortium/Brandon Regional Hospital, University of South Florida Morsani College of Medicine, Brandon, USA.

Published: July 2020

AI Article Synopsis

  • The diagnosis of a right heart thrombus (RHTh) in transit with pulmonary embolism (PE) is rare and can be life-threatening, highlighting the need for quick recognition.
  • Using focused cardiac ultrasound (FOCUS) in the emergency department (ED) can help emergency physicians make critical decisions when RHTh with suspected PE is present.
  • A case study is presented where a patient with RHTh and submassive PE was successfully treated with catheter-directed thrombolysis, showcasing the importance of timely diagnosis and treatment.

Article Abstract

The diagnosis of a right heart thrombus (RHTh) in transit associated with pulmonary embolism (PE) is an uncommon phenomenon with a high mortality rate. Timely recognition of RHTh with focused cardiac ultrasound (FOCUS) in cases of suspected PE is necessary for critical decision making in the emergency department (ED). We present a case of RHTh with submassive PE in which the patient underwent successful catheter-directed thrombolysis. This case report illustrates the significance of an emergency physician (EP) implementing FOCUS during the initial ED evaluation to rapidly diagnose RHTh in transit and initiate PE therapy without delay.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444960PMC
http://dx.doi.org/10.7759/cureus.9354DOI Listing

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