Immediate postpartum cardiorespiratory collapse:a management quandary

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 quandary. Blood Coagulation and Fibrinolysis, 21 (6). pp. 601-604. ISSN 0957-5235 (print); 1473-5733 (online)

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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 30mg bolus. Her saturation and tachypnoea improved and 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:	3808/18666
Uncontrolled Keywords:	cardiopulmonary collapse, puerperium, pulmonary embolism, tenecteplase
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Radiology
Depositing User:	Associate Professor Azarisman Shah Mohd Shah
Date Deposited:	16 Feb 2012 11:43
Last Modified:	16 Feb 2012 11:43
URI:	http://irep.iium.edu.my/id/eprint/18666

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