Immediate postpartum cardiorespiratory collapse:a management quandary
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 wit...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Lippincott Williams & Wilkins Ltd.
2010
|
| Subjects: | |
| Online Access: | http://irep.iium.edu.my/18666/ http://irep.iium.edu.my/18666/1/Immediate-postpartum-cardiorespiratory-collapse-A-management-quandary_2010_Blood-Coagulation-and-Fibrinolysis.pdf |
| _version_ | 1848778233323978752 |
|---|---|
| author | Mohd Shah, Azarisman Shah Roslani, Liza Hassan, Radhiana Saravanamuttu, S. Saujana Oteh, Maskon Mohd. A. , Rosli Abdul Rani, Mohammed Fauzi |
| author_facet | Mohd Shah, Azarisman Shah Roslani, Liza Hassan, Radhiana Saravanamuttu, S. Saujana Oteh, Maskon Mohd. A. , Rosli Abdul Rani, Mohammed Fauzi |
| author_sort | Mohd Shah, Azarisman Shah |
| building | IIUM Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T14:58:37Z |
| format | Article |
| id | iium-18666 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T14:58:37Z |
| publishDate | 2010 |
| publisher | Lippincott Williams & Wilkins Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-186662012-02-16T03:43:36Z http://irep.iium.edu.my/18666/ Immediate postpartum cardiorespiratory collapse:a management quandary Mohd Shah, Azarisman Shah Roslani, Liza Hassan, Radhiana Saravanamuttu, S. Saujana Oteh, Maskon Mohd. A. , Rosli Abdul Rani, Mohammed Fauzi R Medicine (General) 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. Lippincott Williams & Wilkins Ltd. 2010 Article PeerReviewed application/pdf en http://irep.iium.edu.my/18666/1/Immediate-postpartum-cardiorespiratory-collapse-A-management-quandary_2010_Blood-Coagulation-and-Fibrinolysis.pdf 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) http://www.scopus.com/results/results.url?sort=plf-f&src=s&st1=Immediate+postpartum+cardiorespiratory+collapse%3a+a+management+quandary&sid=5Br7NlXeF5s8TXEhYfu7Hoq%3a110&sot=q&sdt=b&sl=90&s=TITLE-ABS-KEY-AUTH%28Immediate+postpartum+cardiorespiratory+colla DOI:10.1097/MBC.0b013e32833c2b9f |
| spellingShingle | R Medicine (General) Mohd Shah, Azarisman Shah Roslani, Liza Hassan, Radhiana Saravanamuttu, S. Saujana Oteh, Maskon Mohd. A. , Rosli Abdul Rani, Mohammed Fauzi Immediate postpartum cardiorespiratory collapse:a management quandary |
| title | Immediate postpartum cardiorespiratory collapse:a management quandary |
| title_full | Immediate postpartum cardiorespiratory collapse:a management quandary |
| title_fullStr | Immediate postpartum cardiorespiratory collapse:a management quandary |
| title_full_unstemmed | Immediate postpartum cardiorespiratory collapse:a management quandary |
| title_short | Immediate postpartum cardiorespiratory collapse:a management quandary |
| title_sort | immediate postpartum cardiorespiratory collapse:a management quandary |
| topic | R Medicine (General) |
| url | http://irep.iium.edu.my/18666/ http://irep.iium.edu.my/18666/ http://irep.iium.edu.my/18666/ http://irep.iium.edu.my/18666/1/Immediate-postpartum-cardiorespiratory-collapse-A-management-quandary_2010_Blood-Coagulation-and-Fibrinolysis.pdf |