Severe, refractory hypoxemia in pulmonary embolism may be due to an intra-cardiac right-to-left shunt. Echocardiography with agitated saline (bubble test), may be an available, point of care tool for diagnosis.
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http://dx.doi.org/10.1002/rcr2.70115 | DOI Listing |
Clin Spine Surg
March 2025
Department of Orthopedics, Beth Israel Deaconess Medical Center, Harvard Medical School.
Study Design: Systematic review and meta-analysis.
Objective: To determine whether venous thromboembolism (VTE) prophylaxis is necessary after spine trauma and to assess the efficacy and safety profiles of anticoagulation agents.
Summary Of Background Data: Venous stasis, endothelial disruption, hypercoagulability, and orthopedic injury in spine trauma predispose 12%-64% of patients to deep vein thrombosis (DVT).
Pulm Circ
January 2025
Thoracic Medicine and Surgery, Temple University Hospital Philadelphia Pennsylvania USA.
Pulmonary embolism (PE) is a leading cause of mortality in lung transplant recipients, with early cases associated with particularly poor outcomes. Identified risk factors include elevated BMI, renal dysfunction, ABO mismatch, donor malignancy, and specific immunosuppressive agents. Tailored risk assessments and targeted interventions are essential to mitigating PE-related mortality.
View Article and Find Full Text PDFFront Neurol
February 2025
Department of Neurosurgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Objective: This study aimed to evaluate the predictive capability of glycolipid metabolism index (triglyceride-glucose index, TyG; atherogenic index of plasma, AIP; triglyceride to high-density lipoprotein cholesterol ratio, TG/HDL-C; and non-HDL-C to HDL-C ratio, NHHR) for complications and ventilator use in patients with intracerebral hemorrhage (ICH) admitted to the intensive care unit (ICU).
Methods: Patients with ICH requiring ICU admission were selected from the Medical Information Mart for Intensive Care IV (MIMIC-IV) database. Outcomes assessed included incidence of complications and use of ventilator support.
Cureus
February 2025
Cardiology, Bahman University Hospital, Beirut, LBN.
Right ventricular thrombus (RVT) is a rare but clinically significant condition associated with severe complications, such as pulmonary embolism and right heart failure. This case report presents a 68-year-old woman with a history of diabetes, coronary artery disease, and heart failure with reduced ejection fraction (HFrEF), who developed bilateral ventricular thrombi in the context of septic cardiomyopathy secondary to a diabetic foot infection and a urinary tract infection (UTI). Echocardiography revealed thrombi in both the right and left ventricles, severe global hypokinesia, and reduced ejection fraction.
View Article and Find Full Text PDFJ Am Coll Emerg Physicians Open
April 2025
Emergency Department, Ng Teng Fong General Hospital, National University Health System, Singapore.
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