Article

Acute pulmonary embolism.

The University of Texas Health Science Center at Houston School of Nursing, USA.
Critical care nursing quarterly 04/2012; 35(2):173-82. DOI:10.1097/CNQ.0b013e31824565fb pp.173-82
Source: PubMed

ABSTRACT Venous thromboembolism is the third leading cause of cardiovascular death in the United States and is the second leading cause of death among hospitalized cancer patients. Continued controversy exists regarding the role of thrombolytic therapy among patients with acute pulmonary embolism. Limited research exists on thrombolytic therapy in this setting, most of which has focused on symptoms, including right ventricular function, hemodynamic status, and electrocardiographic changes. However, these studies have excluded patients with a known malignancy. Presented is an interesting case of a patient, in remission from breast cancer, who presented to the emergency department with symptomatic pulmonary emboli. The presentation, medical management, and consequences of the treatment have been discussed. Also, a brief review of the literature is presented regarding the treatment of acute pulmonary embolism.

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Keywords

breast cancer
 
brief review
 
cancer patients
 
consequences
 
Continued controversy
 
emergency department
 
interesting case
 
known malignancy
 
patients
 
thrombolytic therapy
 
United States
 
Venous thromboembolism
 
ventricular function