Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip
Venous thromboembolism (VTE) includes deep venous thrombosis (DVT) and pulmonary embolism (PE). In this article, we present a case of a patient with an acute DVT who was treated with a therapeutic heparin drip, then developed syncope while in the hospital and found to have massive bilateral PEs. Thi...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-03-01
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| Series: | Journal of Investigative Medicine High Impact Case Reports |
| Online Access: | https://doi.org/10.1177/2324709620914787 |
| _version_ | 1818278979889528832 |
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| author | Said Hajouli MD |
| author_facet | Said Hajouli MD |
| author_sort | Said Hajouli MD |
| collection | DOAJ |
| description | Venous thromboembolism (VTE) includes deep venous thrombosis (DVT) and pulmonary embolism (PE). In this article, we present a case of a patient with an acute DVT who was treated with a therapeutic heparin drip, then developed syncope while in the hospital and found to have massive bilateral PEs. This case aims to arouse the medical staff’s awareness of the VTE diagnosis even if the patient is fully anticoagulated. We review the indications for DVT hospitalization, heparin infusion monitoring, risk factors for developing PE from DVT, mechanisms of developing PE from DVT while on therapeutic anticoagulation, and signs and treatment of massive PE. |
| first_indexed | 2024-12-12T23:26:03Z |
| format | Article |
| id | doaj.art-b0f6e37e02524baab45a1b8fdd1ff2df |
| institution | Directory Open Access Journal |
| issn | 2324-7096 |
| language | English |
| last_indexed | 2024-12-12T23:26:03Z |
| publishDate | 2020-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Investigative Medicine High Impact Case Reports |
| spelling | doaj.art-b0f6e37e02524baab45a1b8fdd1ff2df2022-12-22T00:08:03ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962020-03-01810.1177/2324709620914787Massive Fatal Pulmonary Embolism While on Therapeutic Heparin DripSaid Hajouli MD0Hospital Medicine Department, Logan Regional Medical Center, Logan, WV, USAVenous thromboembolism (VTE) includes deep venous thrombosis (DVT) and pulmonary embolism (PE). In this article, we present a case of a patient with an acute DVT who was treated with a therapeutic heparin drip, then developed syncope while in the hospital and found to have massive bilateral PEs. This case aims to arouse the medical staff’s awareness of the VTE diagnosis even if the patient is fully anticoagulated. We review the indications for DVT hospitalization, heparin infusion monitoring, risk factors for developing PE from DVT, mechanisms of developing PE from DVT while on therapeutic anticoagulation, and signs and treatment of massive PE.https://doi.org/10.1177/2324709620914787 |
| spellingShingle | Said Hajouli MD Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip Journal of Investigative Medicine High Impact Case Reports |
| title | Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip |
| title_full | Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip |
| title_fullStr | Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip |
| title_full_unstemmed | Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip |
| title_short | Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip |
| title_sort | massive fatal pulmonary embolism while on therapeutic heparin drip |
| url | https://doi.org/10.1177/2324709620914787 |
| work_keys_str_mv | AT saidhajoulimd massivefatalpulmonaryembolismwhileontherapeuticheparindrip |