Intra-arrest thrombolysis in pulmonary thromboembolia with a successful clinical and neurological outcome: a case report

Abstract

A 72-year-old male, with no pathological or family history, presents with dizziness, abdominal pain and non-dysenteric diarrheic depositions together with a syncopal episode lasting a few minutes, presenting a full recovery without neurological deficit. 15 minutes later he enters emergency services alert, with no other symptoms, hydrated, with increased peristalsis. Parenteral hydration and initial paraclinical exams (ionogram, hemogram and electrocardiogram) are considered during his time at the emergency services, with no alterations evident. The electrocardiogram returned a sinus rhythm, no tachycardia, no signs of acute ischemia, no blockages.