Document Detail


Immediate postpartum cardiorespiratory collapse: a management quandary.
MedLine Citation:
PMID:  20581659     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
A 35-year-old multiparous woman was found unresponsive, tachypnoeic, hypoxic and in shock 4 h postpartum. The ECG revealed S1 Q3 T3, a right bundle branch block pattern and right-axis deviation. The computed tomography of her pulmonary arteries revealed bilateral pulmonary artery thrombosis with dilated right ventricle. She was fibrinolyzed with intravenous Tenecteplase 30 mg bolus. Her saturation and tachypnoea improved and her ECG reverted to sinus rhythm subsequently. We discuss our use of off-label Tenecteplase in postpartum pulmonary embolism and review the literature.
Authors:
Shah M S Azarisman; Roslani A Liza; Hassan Radhiana; Saravanamuttu S Sujana; Oteh Maskon; Mohd A Rosli; Abdul R M Fauzi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis     Volume:  21     ISSN:  1473-5733     ISO Abbreviation:  Blood Coagul. Fibrinolysis     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9102551     Medline TA:  Blood Coagul Fibrinolysis     Country:  England    
Other Details:
Languages:  eng     Pagination:  601-4     Citation Subset:  IM    
Affiliation:
International Islamic University Malaysia, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang Darul Makmur, Malaysia. risman1973@hotmail.com
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