Thanks Elliott Adamson for this presentation about the PEAPETT study.
Key points:
- Suggests that thrombolysis with tPA in PEA arrest with confirmed PE has benefit
- Logically contrasts with other studies of thrombolysis in PEA arrest (all causes) which does not appear to show particular benefit
- 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