MOHANDAS M. SHENOY, M.D.; SANDOR A. FRIEDMAN, M.D.; SANTI DHAR, M.D.; PETER BERMAN, M.D.
Streptokinase has been used successfully for several thromboembolic disorders. In the case reported here, intravenous infusion of streptokinase eliminated right-to-left intracardiac shunting in a patient with acute pulmonary embolism. This treatment simultaneously lysed a left ventricular thrombus. The shunting site and thrombolysis were shown echocardiographically.
A 94-year-old man was hospitalized with acute dyspnea and left arm paralysis. His history included a myocardial infarction but no neurologic disease. Physical findings included a temperature of 36.8 °C; pulse, 75 beats/min; blood pressure, 90/50 mm Hg; central cyanosis, tachypnea, and jugular venous distension. Heart sounds were normal and lungs were clear. His left
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SHENOY MM, FRIEDMAN SA, DHAR S, BERMAN P. Streptokinase Lysis of Intraventricular Thrombus and Pulmonary Emboli with Resolution of Acquired Intracardiac Shunt. Ann Intern Med. 1985;103:65–66. doi: 10.7326/0003-4819-103-1-65
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Published: Ann Intern Med. 1985;103(1):65-66.
Emergency Medicine, Pulmonary Embolism, Pulmonary/Critical Care, Venous Thromboembolism.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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