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...

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Main Authors: Mohd Shah, Azarisman Shah, Roslani, Liza, Hassan, Radhiana, Saravanamuttu, S. Saujana, Oteh, Maskon, Mohd. A. , Rosli, Abdul Rani, Mohammed Fauzi
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/
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
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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
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
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
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.
format Article
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
title Immediate postpartum cardiorespiratory collapse:a management quandary
title_short 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_sort immediate postpartum cardiorespiratory collapse:a management quandary
publisher Lippincott Williams & Wilkins Ltd.
publishDate 2010
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
first_indexed 2023-09-18T20:27:50Z
last_indexed 2023-09-18T20:27:50Z
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