{"pk":8454,"title":"Bedside Echocardiography for Undifferentiated Hypotension: Diagnosis of a Right Heart Thrombus","subtitle":null,"abstract":"A free-floating right heart thrombus is often a harbinger of a massive pulmonary embolism and must be diagnosed and treated rapidly in order to avoid significant adverse sequelae. We present the case of an 84-year-old female who presented with two days of dyspnea and was hypotensive on arrival. Bedside ultrasound was performed by the emergency physician and showed a large, mobile right heart thrombus leading to immediate administration of a thrombolytic. In this case, bedside ultrasound was utilized to help further delineate clinical care in a progressively worsening patient, leading to a potentially lifesaving treatment. [West J Emerg Med. 2015;16(1):–0.]","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"ultrasonography"},{"word":"Echocardiography"},{"word":"thromboembolism"},{"word":"hypotension"},{"word":"right ventricular dysfunction"},{"word":"Thrombolytic therapy"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2bc147nw","frozenauthors":[{"first_name":"James","middle_name":"F.","last_name":"Kenny","name_suffix":"","institution":"Northwestern University, Emergency Medicine Residency, Chicago, Illinois","department":"None"},{"first_name":"Xun","middle_name":"","last_name":"Zhong","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York","department":"None"},{"first_name":"Cara","middle_name":"","last_name":"Brown","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York","department":"None"},{"first_name":"Devjani","middle_name":"","last_name":"Das","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York","department":"None"},{"first_name":"Brock","middle_name":"","last_name":"Royall","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York","department":"None"},{"first_name":"Monica","middle_name":"","last_name":"Kapoor","name_suffix":"","institution":"Staten Island University Hospital, Department of Emergency Medicine, Staten Island, New York","department":"None"}],"date_submitted":"2014-07-21T23:33:18Z","date_accepted":"2014-07-21T23:33:18Z","date_published":"2014-12-11T19:07:27Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/8454/galley/4883/download/"}]}