Good neurological recovery after rescue thrombolysis of presumed pulmonary embolism despite prior 100 minutes CPR |
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| Authors: | Jiang-Ping Wu Dan-Yan Gu Sheng Wang Zhen-Jun Zhang Jian-Cang Zhou Rui-Feng Zhang |
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| Affiliation: | 1.Department of Emergency Medicine, The Second People’s Hospital of Yiwu City, Yiwu 322002, China; 2.Department of Critical Care Medicine, 3.Department of Respiratory Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China |
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| Abstract: | We reported the case of a 70-year-old man who was admitted to neurologic wards for recurrent syncope for 3 years. Unfortunately, just 2 hours after his admission, he suddenly collapsed and failed to return of spontaneous circulation (ROSC) after a 100-minute standard cardiopulmonary resuscitation (CPR). Fortunately, he was timely suspected to have pulmonary embolism (PE) based on his sedentary lifestyle, elevated D-dimer and markedly enlarged right ventricle chamber on bedside echocardiography. After a rescue thrombolytic alteplase therapy, he was successfully resuscitated and good neurological recovery was achieved. |
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| Keywords: | Cardiac arrest pulmonary embolism (PE) thrombolysis |
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