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Statements

Subject Item
n2:RIV%2F00216208%3A11150%2F13%3A10194893%21RIV14-MSM-11150___
rdf:type
n17:Vysledek skos:Concept
rdfs:seeAlso
http://dx.doi.org/10.1111/aas.12072
dcterms:description
The presence of free-floating right-heart thrombus has been reported in a cardiac arrest patient in the periarrest period. Free-floating right atrial thrombus is a rare phenomenon seen in patients developing severe pulmonary embolism, and is associated with increased mortality. However, there have been no previously reported cases of right-heart thrombus formation during a resuscitated cardiac arrest. We present the pre-hospital case of a woman in the clinical setting of cardiogenic shock due to acute myocardial infarction who developed asystolic cardiac arrest on the scene. Recent implementation of ultrasonography into the regional pre-hospital care protocol enabled sonographic investigation before and during cardiac arrest. This allowed detection of right atrial septal thrombus formation in the course of advanced life support and its migration through the tricuspid valve. The pathophysiological consequences, clinical significance and potential therapeutic options are discussed. The presence of free-floating right-heart thrombus has been reported in a cardiac arrest patient in the periarrest period. Free-floating right atrial thrombus is a rare phenomenon seen in patients developing severe pulmonary embolism, and is associated with increased mortality. However, there have been no previously reported cases of right-heart thrombus formation during a resuscitated cardiac arrest. We present the pre-hospital case of a woman in the clinical setting of cardiogenic shock due to acute myocardial infarction who developed asystolic cardiac arrest on the scene. Recent implementation of ultrasonography into the regional pre-hospital care protocol enabled sonographic investigation before and during cardiac arrest. This allowed detection of right atrial septal thrombus formation in the course of advanced life support and its migration through the tricuspid valve. The pathophysiological consequences, clinical significance and potential therapeutic options are discussed.
dcterms:title
Intra-arrest formation of right-heart thrombi - a case illustrated by real-time ultrasonography Intra-arrest formation of right-heart thrombi - a case illustrated by real-time ultrasonography
skos:prefLabel
Intra-arrest formation of right-heart thrombi - a case illustrated by real-time ultrasonography Intra-arrest formation of right-heart thrombi - a case illustrated by real-time ultrasonography
skos:notation
RIV/00216208:11150/13:10194893!RIV14-MSM-11150___
n17:predkladatel
n19:orjk%3A11150
n5:aktivita
n10:I
n5:aktivity
I
n5:cisloPeriodika
5
n5:dodaniDat
n20:2014
n5:domaciTvurceVysledku
n15:1328913 n15:8872945 n15:2920387
n5:druhVysledku
n9:J
n5:duvernostUdaju
n14:S
n5:entitaPredkladatele
n18:predkladatel
n5:idSjednocenehoVysledku
80937
n5:idVysledku
RIV/00216208:11150/13:10194893
n5:jazykVysledku
n7:eng
n5:klicovaSlova
emergency; diagnosis; management; echocardiography; life-support; floating thrombi; pen-resuscitation; cardiopulmonary-resuscitation; hospital cardiac-arrest; pulmonary-embolism registry
n5:klicoveSlovo
n6:echocardiography n6:pen-resuscitation n6:hospital%20cardiac-arrest n6:cardiopulmonary-resuscitation n6:floating%20thrombi n6:life-support n6:management n6:pulmonary-embolism%20registry n6:diagnosis n6:emergency
n5:kodStatuVydavatele
DK - Dánské království
n5:kontrolniKodProRIV
[49D6AE35C42C]
n5:nazevZdroje
Acta Anaesthesiologica Scandinavica
n5:obor
n12:FP
n5:pocetDomacichTvurcuVysledku
3
n5:pocetTvurcuVysledku
6
n5:rokUplatneniVysledku
n20:2013
n5:svazekPeriodika
57
n5:tvurceVysledku
Škulec, Roman Černý, Vladimír Truhlář, Anatolij Šeblová, J. Houdek, M. Knor, J.
n5:wos
000317432300017
s:issn
0001-5172
s:numberOfPages
5
n11:doi
10.1111/aas.12072
n16:organizacniJednotka
11150