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  1. Article ; Online: Systemic Thrombolysis for Treatment of Acute Life-threatening Pulmonary Embolism During Cesarean Section Followed by Post-partum Rescue Hysterectomy: A Case Report and Review of the Literature.

    Karakosta, Agathi / Evangelou, Theocharis / Flindris, Stefanos / Samara, Ioanna / Styliara, Effrosyni / Dalkalitsis, Alexandros / Pantazi, Danai / Bolosi, Maria / Argyri, Urania / Michalis, Lampros K / Argyropoulou, Maria I / Naurozoglou, Iordanis / Paschopoulos, Minas / Tzimas, Petros

    In vivo (Athens, Greece)

    2023  Volume 37, Issue 1, Page(s) 498–502

    Abstract: Background/aim: Acute pulmonary embolism during cesarean section is extremely rare and only a limited number of cases have been reported in literature. The aim of this study was to report a case of acute high risk pulmonary embolism during elective ... ...

    Abstract Background/aim: Acute pulmonary embolism during cesarean section is extremely rare and only a limited number of cases have been reported in literature. The aim of this study was to report a case of acute high risk pulmonary embolism during elective cesarean section treated with systemic thrombolysis and discuss the multidisciplinary management in both early recognition and prompt treatment.
    Case report: A 39-year-old, G5P2, ASA II parturient presented for repeat cesarean section under general anesthesia. A sudden drop in end-tidal CO
    Conclusion: Though pregnancy is one of the major risk factors of the development of venous thromboembolism, acute intraoperative pulmonary embolism is extremely rare. Specific guidelines for the management of such cases are difficult to issue due to the paucity of relevant data. Thus, an individualized approach by a multidisciplinary team for diagnosis and intervention is mandated.
    MeSH term(s) Pregnancy ; Humans ; Female ; Adult ; Cesarean Section/adverse effects ; Tissue Plasminogen Activator ; Pulmonary Embolism/diagnosis ; Pulmonary Embolism/drug therapy ; Pulmonary Embolism/etiology ; Hysterectomy/adverse effects ; Thrombosis/surgery ; Thrombolytic Therapy/adverse effects ; Postpartum Period
    Chemical Substances Tissue Plasminogen Activator (EC 3.4.21.68)
    Language English
    Publishing date 2023-01-03
    Publishing country Greece
    Document type Review ; Case Reports ; Journal Article
    ZDB-ID 807031-3
    ISSN 1791-7549 ; 0258-851X
    ISSN (online) 1791-7549
    ISSN 0258-851X
    DOI 10.21873/invivo.13106
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2288: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Localization of accessory pathways by the electrocardiogram: which is the degree of accordance of three algorithms in use?

    Katsouras, Christos S / Greakas, Georgios F / Goudevenos, John A / Michalis, Lampros K / Kolettis, Theofilos / Economides, Constantinos / Argyri, Urania / Pappas, Spiridon / Sideris, Dimitris A

    Pacing and clinical electrophysiology : PACE

    2003  Volume 27, Issue 2, Page(s) 189–193

    Abstract: We evaluated the extent of agreement among three algorithms used for the localization of accessory pathways in patients with overt preexcitation. By the use of one algorithm, three independent couples of observers localized the accessory pathway in 95 ... ...

    Abstract We evaluated the extent of agreement among three algorithms used for the localization of accessory pathways in patients with overt preexcitation. By the use of one algorithm, three independent couples of observers localized the accessory pathway in 95 consecutive patients showing overt preexcitation in the 12-lead surface electrocardiogram. We defined the following regions: Left atrioventricular ring (LAVR), Right atrioventricular ring (RAVR), Left lateral/left anterolateral (LL/LAL), Left posterior/left posterolateral (LP/LPL), Left posteroseptal (LPS), Right midseptal (RMS), Right posteroseptal (RPS), Right posterior/right posterolateral (RP/RPL), Right lateral/right anterolateral (RL/RAL), and Right anterior/right anteroseptal (RA/RAS). The extent of agreement in each region was evaluated and compared with the expected one, as calculated from the reported. The extent of agreement was as expected: (1) high in the regions LAVR, RAVR, LL/LPS and (2) limited in the regions LPS, RPS, and (3) clearly lower than expected in the regions LP/LPL, RA/RAS, RMS, RL/RAL. In cases with total or partial disagreement, the number of electrocardiograms with duration of QRS complex smaller than 120 ms was greater than in cases with total agreement (30/46 vs 22/50, P < 0.05). The observed agreement among algorithms is clearly lower than the expected one. Minimal preexcitation, limited number of patients, and arbitrarily defined regions were possibly the reasons for some unexpected results.
    MeSH term(s) Algorithms ; Atrioventricular Node/physiopathology ; Electrocardiography/classification ; Electrocardiography/statistics & numerical data ; Forecasting ; Heart Conduction System/physiopathology ; Heart Conduction System/surgery ; Heart Septum/physiopathology ; Humans ; Observer Variation ; Pre-Excitation Syndromes/physiopathology ; Pre-Excitation Syndromes/surgery ; Single-Blind Method ; Time Factors
    Language English
    Publishing date 2003-05-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 424437-0
    ISSN 1540-8159 ; 0147-8389
    ISSN (online) 1540-8159
    ISSN 0147-8389
    DOI 10.1111/j.1540-8159.2004.00409.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1466: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 399: Show issues

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