title: Massive pulmonary embolism immediately diagnosed by transthoracic echocardiography and treated with tenecteplase fibrinolysis.
abstract: We report the case of a 75-year-old woman with new onset dyspnoea, hypotension, and right bundle branch block. Transthoracic echocardiography (TTE) showed a thrombus in the right pulmonary artery and acute pulmonary embolism was diagnosed. The patient immediately underwent fibrinolysis with tenecteplase, with prompt recovery of clinical conditions and ECG anomalies. Bedside TTE might be helpful for immediate diagnosis of massive PE needing rapid treatment by fibrinolysis.
authors: Cardiology Department, University of Foggia, Foggia, Italy. dr.natale.daniele.brunetti@hotmail.it
authors: Natale Daniele
authors: ND
authors: Brunetti
authors: Riccardo
authors: R
authors: Ieva
authors: Michele
authors: M
authors: Correale
authors: Luisa
authors: L
authors: De Gennaro
authors: Pier Luigi
authors: PL
authors: Pellegrino
authors: Ezio
authors: E
authors: Dioguardi
authors: Francesca
authors: F
authors: Bux
authors: Matteo
authors: M
authors: Di Biase
mesh_terms: D000368:Aged; D004452:Echocardiography; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000188:drug therapy; D000077785:Tenecteplase; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator; D000077785:Tenecteplase