ACCUTE PULMONARY EMBOLISM CLINICAL CASE

Resumen

This is a case of a patient in his seventies that during exercise presents acute dyspnea and blackout for 10 minutes,he visits the physician who diagnosis a probable Acute Coronary Syndrome and sends him to our hospital. Atthe Emergency Room (ER), after an echo cardiogram, laboratory exams and an electrocardiogram the patientwas diagnosed with an acute pulmonary embolism and was sent to the Intensive Care Unit (ICU). He was stableand medicated with Heparin, after a CT Pulmonary Angiography (CTPA) he was treated with Tenecteplase andeight days later he was discharged in good health working conditions.

El caso clínico se trata de un paciente en la 7a década de la vida que al realizar ejercicio presenta disnea aguday síncope por 10 minutos, inicialmente fue diagnosticado como síndrome coronario agudo y enviado a nuestrohospital; en urgencias le efectúan un ecocardiograma, electrocardiograma, laboratorios y lo ingresan a laterapia intensiva con diagnóstico de tromboembolia pulmonar aguda, se estabiliza y se trata con Heparina,después de efectuarle una tomografía computada se decide darle Tenecteplase, fue dado de alta 8 días despuésen buenas condiciones funcionales