Cardiopulmonary resuscitation may cause paradoxical embolism.

Am J Emerg Med 2020 May 4. Epub 2020 May 4.

Department of Emergency Medicine, Yonsei University Wonju College of Medicine, 20 ilsanro, Wonju 26427, Republic of Korea. Electronic address:

This paper reports a case of paradoxical embolism of right heart thrombi visualized on transesophageal echocardiography during cardiopulmonary resuscitation (CPR). CPR may cause a right-to-left shunt by producing a sudden increase in right atrial pressure during the compression phase. In cardiac arrest patients with right heart thrombi who have received CPR, systemic embolization can occur owing to paradoxical embolism.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2020.04.088DOI Listing
May 2020

Publication Analysis

Top Keywords

paradoxical embolism
12
heart thrombi
8
cardiopulmonary resuscitation
8
increase atrial
4
atrial pressure
4
pressure compression
4
sudden increase
4
producing sudden
4
cpr cpr
4
cpr right-to-left
4
shunt producing
4
compression phase
4
cardiac arrest
4
cpr systemic
4
systemic embolization
4
embolization occur
4
occur paradoxical
4
received cpr
4
thrombi received
4
resuscitation cpr
4

Similar Publications