ArticleJournal of thrombosis and thrombolysis2008
Pulmonary embolism after brain hemorrhage in a hypertensive patient: the therapeutic dilemma.
Article in Journal of thrombosis and thrombolysis, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Managing symptomatic intermediate or high-risk pulmonary embolism presenting concomitantly with intracranial bleeding: case series and literature review.Acute and critical care · 2026Article
- Therapeutic Challenge in a Case of Extensive Pulmonary Embolism with Concomitant Intracranial Haemorrhage: When Less is Really More.International medical case reports journal · 2026Article
- Management of intraoperative acute pulmonary embolism in a patient with subarachnoid haemorrhage undergoing femoral fracture repair.The Journal of international medical research · 2019Article
- Management of pulmonary embolism after recent intracranial hemorrhage: A case report.Medicine · 2018Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
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Abstract
Massive pulmonary embolism is a life-threatening condition to be treated with anticoagulants or even thrombolytic agents in selected cases. However, these drugs are controindicated after a recent hemorrhagic episode. We report the case of a 46-year-old patient with uncontrolled systemic hypertension who was affected by severe spontaneous cerebral hemorrhage and left hemiparesis. After some days of rehabilitation care he developed sudden dyspnea, tachycardia and hypotension secondary to bilateral pulmonary embolism. Owing to controindication to the use of thrombolytic agents, anticoagulant therapy with high-dose intravenous unfractionated heparin followed by oral warfarin was begun, with a successful and uncomplicated outcome. The therapeutic approach to similar not uncommon cases is debated and some hypotheses are made about the aetiology of pulmonary embolism in these patients.
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