Thrombolysis in PEA arrest and PE

Thrombolysis in PEA with confirmed PE

 

Thanks Elliott Adamson for this presentation about the PEAPETT study.

Key points:

  1. Suggests that thrombolysis with tPA in PEA arrest with confirmed PE has benefit
  2. Logically contrasts with other studies of thrombolysis in PEA arrest (all causes) which does not appear to show particular benefit
  3. Despite minimal proven benefit of thrombolysis in PEA arrest where cause is unclear, consideration of thrombolysis is still important (reversible causes – 4Hs and 4Ts) particularly in younger patients where overall outcome likely to be better

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