Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip

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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Bibliographic Details
Main Author: Said Hajouli MD
Format: Article
Language:English
Published: SAGE Publishing 2020-03-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709620914787
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spelling doaj-b0f6e37e02524baab45a1b8fdd1ff2df2020-11-25T03:36:04ZengSAGE 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
collection DOAJ
language English
format Article
sources DOAJ
author Said Hajouli MD
spellingShingle Said Hajouli MD
Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip
Journal of Investigative Medicine High Impact Case Reports
author_facet Said Hajouli MD
author_sort Said Hajouli MD
title Massive Fatal Pulmonary Embolism While on Therapeutic Heparin Drip
title_short 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_sort massive fatal pulmonary embolism while on therapeutic heparin drip
publisher SAGE Publishing
series Journal of Investigative Medicine High Impact Case Reports
issn 2324-7096
publishDate 2020-03-01
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.
url https://doi.org/10.1177/2324709620914787
work_keys_str_mv AT saidhajoulimd massivefatalpulmonaryembolismwhileontherapeuticheparindrip
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