Efficacy of epinephrine therapy in shock complicating pulmonary embolism

Chest. 1993 Jul;104(1):300-2. doi: 10.1378/chest.104.1.300.

Abstract

A case of shock and pulmonary embolism in a 57-year-old woman is described in which hemodynamics were unresponsive both to usual therapy (volume loading, dobutamine, thrombolysis) and then to norepinephrine. Epinephrine proved to be effective, above all by strong beta 1-inotropic effect.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Output, Low / etiology
  • Dilatation, Pathologic / etiology
  • Dobutamine / therapeutic use
  • Epinephrine / therapeutic use*
  • Female
  • Humans
  • Hypotension / drug therapy
  • Hypotension / etiology
  • Middle Aged
  • Norepinephrine / therapeutic use
  • Pulmonary Embolism / complications*
  • Recombinant Proteins
  • Shock, Cardiogenic / drug therapy*
  • Shock, Cardiogenic / etiology*
  • Urokinase-Type Plasminogen Activator / therapeutic use
  • Ventricular Function, Right

Substances

  • Recombinant Proteins
  • Dobutamine
  • Urokinase-Type Plasminogen Activator
  • Norepinephrine
  • Epinephrine