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- W4280492575 abstract "Twenty years old woman was admitted to a local hospital with pain, redness, swelling of the left extremity, general malaise, and fatigue. Performed duplex ultrasound revealed massive thrombus originating in anterior tibial, posterior tibial, and fibular veins, continuing through popliteal and femoral till the external iliac vein. Two months earlier, the patient was ordered oral contraceptive therapy. The treatment regime which was scheduled included low-molecular-weight heparin. Because there was no clinical improvement 12 days later, there was performed computed tomography pulmonary angiography. This diagnostic examination showed that deep vein thrombosis was complicated by pulmonary embolism — there were thrombi in subsegmental pulmonary arteries of the bottom lobes of both lungs. The pulmonary embolism was low-risk because there was no observed hypotony and any signs of myocardial injury — cardiac troponins and B-type natriuretic peptide levels remained within the normal range values. Because there was no improvement a few days later, the patient was referred to a higher reference university hospital with Cardiac Intensive Care Unit. In this stage, subcutaneous low-molecular-weight heparin was replaced by an intravenous infusion of unfractionated heparin. After a few days of treatment, symptoms started to deteriorate." @default.
- W4280492575 created "2022-05-22" @default.
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- W4280492575 date "2022-04-21" @default.
- W4280492575 modified "2023-09-27" @default.
- W4280492575 title "Zatorowość płucna u młodej kobiety z zakrzepicą żył głębokich po doustnych lekach antykoncepcyjnych" @default.
- W4280492575 doi "https://doi.org/10.5603/fc.a2022.0025" @default.
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