Title
Bedside echocardiography for undifferentiated hypotension: diagnosis of a right heart thrombus
Publication Date
2015
Journal Title
West J Emerg Med
Abstract
A free-floating right heart thrombus is often a harbinger of a massive pulmonary embolism and must be diagnosed and treated rapidly in order to avoid significant adverse sequelae. We present the case of an 84-year-old female who presented with two days of dyspnea and was hypotensive on arrival. Bedside ultrasound was performed by the emergency physician and showed a large, mobile right heart thrombus leading to immediate administration of a thrombolytic. In this case, bedside ultrasound was utilized to help further delineate clinical care in a progressively worsening patient, leading to a potentially lifesaving treatment.
Volume Number
16
Issue Number
1
Pages
178-80
Document Type
Article
EPub Date
2015/02/12
Status
Northwell Researcher
Facility
Northwell Health
Primary Department
Pediatrics
Additional Departments
Emergency Medicine
PMID
DOI
10.5811/westjem.2014.12.23262