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A 72-year-old man was referred to our hospital as a case of postcardiac arrest following a long distance air flight. Work-up in the emergency department revealed the presence of deep vein thrombosis (DVT), bilateral pulmonary embolism, inferior STEMI (ST elevation myocardial infarction) and ischaemic stroke. He received thrombolysis by recombinant...
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Background:
Anemia commonly accompanies acute coronary syndromes (ACS) and is associated with poorer outcomes. This study examines the associations between anemia, management and outcomes in an Australian ACS population.
Methods:
This analysis of the CONCORDANCE database included 8665 ACS patients presenting to 41 Australian hospitals. Baseline...
Citations
... Cardiac arrest (CA), particularly in an out-of-hospital setting, predisposes patients to DVT due to its impact on each component of Virchow's triad. First, inadequate cardiopulmonary resuscitation (CPR) may result in blood stasis, leading to poor circulation and an increased risk of thrombus formation in various body regions, including the heart chambers, lungs, and extremities [3,4]. Second, patients who experience CA often exhibit significant thrombogenesis and impaired fibrinolysis [5]. ...
... Inadequate CPR can exacerbate blood stasis and increase the risk of clot formation. In this case, the patient underwent two rounds of CPR, likely worsening stasis and contributing to the development of the UE DVT [3,4]. Moreover, CA can lead to an imbalance between thrombogenesis and fibrinolysis [5]. ...
Novel treatment of simultaneous mesenteric and cerebral ischaemia with systemic thrombolysis. A 75-year-old man presented to the acute stroke team with aphasia, right-sided weakness and distressed with a pain he was unable to localise. He was treated with intravenous thrombolysis with tissue plasminogen activator for a left middle cerebral artery stroke. Decompensation on the ward during thrombolysis with worsening abdominal distension and pain, hypotension and tachycardia prompted a CT angiogram scan, which displayed proximal inferior mesenteric artery occlusion. Thrombolysis treatment resulted in excellent improvement of both his dysphasia and weakness from the left cerebral ischaemic stroke and reperfusion of the ischaemic bowel, without surgical intervention.
