Pulmonary embolism: improvement in hemodynamic function with amrinone therapy.
We have described a 57-year-old man who had had lower extremity vascular surgery complicated by PE. Dyspnea, hypotension, hypoxemia, and CHF developed, but thrombolytic therapy was not started because of the recent surgical procedure; instead, he had plication of the inferior vena cava. Because of persistent pulmonary artery hypertension and decreasing cardiac indices, amrinone therapy was begun, and resulted in marked hemodynamic improvement.
Spence
T H
TH
Department of Pulmonary Medicine, USAF Medical Center Keesler, Miss.
Newton
W D
WD
D000676:Amrinone / Q000627:therapeutic use*; D001026:Coronary Artery Bypass / Q000009:adverse effects; D006439:Hemodynamics / Q000187:drug effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology*; D013997:Time Factors
D000676:Amrinone