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10.1136/bcr-2015-210828

http://scihub22266oqcxt.onion/10.1136/bcr-2015-210828
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C4654208!4654208!26538127
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suck abstract from ncbi


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pmid26538127      BMJ+Case+Rep 2015 ; 2015 (ä): ä
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  • Early recognition is the key to success: pulseless electrical activity (PEA) as a manifestation of heparin-induced anaphylactoid reaction #MMPMID26538127
  • Jayarangaiah A; Epperla N
  • BMJ Case Rep 2015[]; 2015 (ä): ä PMID26538127show ga
  • A 64-year-old man underwent mitral valve replacement. He was hospitalised 9?days later because of slurring of speech and left-sided facial weakness. During hospitalisation, unfractionated heparin (UFH) bolus and drip were initiated due to subtherapeutic international normalised ratio. Within 5?min of UFH bolus, the patient began to experience symptoms of dyspnoea, followed by pulseless electrical activity arrest. He was successfully resuscitated. A decline in platelet count >50% was noted immediately after UFH bolus and cardiac arrest. A diagnosis of heparin-induced thrombocytopenia and anaphylactoid reaction was considered (4Ts score of 7). Heparin was discontinued and argatroban was started. A platelet factor 4 (PF4) assay was strongly positive. Platelet counts subsequently improved following discontinuation of heparin.
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