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The diagnosis of right heart thrombus by focused cardiac ultrasound in a critically ill patient in compensated shock

Overview of attention for article published in The Ultrasound Journal, May 2015
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Title
The diagnosis of right heart thrombus by focused cardiac ultrasound in a critically ill patient in compensated shock
Published in
The Ultrasound Journal, May 2015
DOI 10.1186/s13089-015-0023-7
Pubmed ID
Authors

Mansour Jammal, Peter Milano, Renzo Cardenas, Thomas Mailhot, Diku Mandavia, Phillips Perera

Abstract

Right heart thrombus (RHT) is a life-threatening diagnosis that is rarely made in the emergency department (ED), but with the increasing use of focused cardiac ultrasound (FocUS), more of these cases may be identified in a timely fashion. We present a case of an ill-appearing patient who had an immediate change in management due to the visualization of RHT soon after arrival to the ED. The diagnosis was confirmed after a cardiology-performed ultrasound (US). This case illustrates the value of the recognition of RHT on FocUS and how US protocols designed for the evaluation of shock and shortness of breath may potentially be expanded to patients in a 'compensated' or 'pre-shock' state to expedite the correct diagnosis and to facilitate more timely management.

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Geographical breakdown

Country Count As %
Unknown 42 100%

Demographic breakdown

Readers by professional status Count As %
Other 6 14%
Professor > Associate Professor 6 14%
Student > Bachelor 5 12%
Researcher 4 10%
Student > Master 3 7%
Other 11 26%
Unknown 7 17%
Readers by discipline Count As %
Medicine and Dentistry 25 60%
Agricultural and Biological Sciences 5 12%
Unspecified 2 5%
Computer Science 1 2%
Social Sciences 1 2%
Other 1 2%
Unknown 7 17%