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Immediate postpartum cardiorespiratory collapse : a management quandry

Mohd. Shah, Azarisman Shah and Roslani, Liza and Hassan, Radhiana and Saravanamuttu, S. Saujana and Oteh, Maskon and Mohd. A. , Rosli and Abdul Rani, Mohammed Fauzi (2010) Immediate postpartum cardiorespiratory collapse : a management quandry. Blood Coagulation & Fibrinolysis, 21 (6). pp. 601-604. ISSN 0957-5235

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Abstract

A 35-year-old multiparous woman was found unresponsive, tachypnoeic, hypoxic and in shock 4 h postpartum. The ECG revealed S1 Q3 T3, a right bundle branch block pattern and right-axis deviation. The computed tomography of her pulmonary arteries revealed bilateral pulmonary artery thrombosis with dilated right ventricle. She was fibrinolyzed with intravenous Tenecteplase 30 mg bolus. Her saturation and tachypnoea improved anf her ECG reverted to sinus rhythm subsequently. We discuss our use of off-label Tenecteplase in postpartum pulmonary embolism and review the literature. Blood Coagul Fibrinolysis 21:601-604 @2010 Wolters Kluwer Health | Lippincott Williams & Wilkins

Item Type: Article (Journal)
Additional Information: 3808/11368
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine
Depositing User: Sarifah Abdullah
Date Deposited: 19 Dec 2011 14:26
Last Modified: 27 Jan 2012 10:50
URI: http://irep.iium.edu.my/id/eprint/11368

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