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letter
. 2020 May 20;152:86–88. doi: 10.1016/j.resuscitation.2020.05.020

Table 1.

Characteristics of patients treated with rescue systemic fibrinolysis.

Patient 1 2 3–1 3–2 4 5
Age (years) 67 41 63 63 55 46
Sex Male Male Male Male Male Male
BMI (kg/m2) 26.2 25.8 27.2 27.2 20.7 24.3
SAPS II 26 22 47 47 28 31
Invasive MV No Yes Yes Yes Yes Yes
Number of PP sessions 0 1 1 1 1 4
PaO2/FiO2 ratio (mmHg) 80 85 80 91 94 62
PaCO2 (mmHg) 36 56 76 46 53 53
Respiratory system compliance (ml/cmH2O) NA 33 30 16 17 10
Driving pressure (cmH2O) NA 12 15 25 23 16
NE dose (μg/kg/min) 2.94 0.22 1.06 2.05 0.25 3.46
VV-ECMO No No No No No Yes
Antithrombotic regimen Curative LMWH Preventive LMWH Curative LMWH Curative UFH Curative LMWH Curative UFH
D-Dimer (ng/ml) 2281 NA 4208 4208 7794 9943
PR (%) 64 67 77 71 70 80
Platelet count (Giga/l) 355 194 391 403 199 176
Fibrinogen (g/l) 7.7 8.4 7.0 6.4 6.5 4.8
Reason for fibrinolysis CA CA Shock Shock Shock Shock
Imaging ACP ACP + CFV thrombosis ACP ACP ACP ACP
Complications Femoral hemorrhage: 8 RBC transfused Jugular + femoral hemorrhage: 3 RBC transfused
Immediate effect No ROSC No ROSC 60% NE decrease in 1 h Persistent shock Persistent shock 80% NE decrease in 3 h
Vital status Death Death Death 3 days later Death 2 days later Death 3 days later Alive at 7 days

All clinical characteristics are reported before initiation of rescue therapy.

Abbreviations: ACP: acute cor pulmonale, BMI: body mass index, CA: cardiac arrest, CFV: common femoral vein, h: hour, LMWH: low molecular weight heparin, MV: mechanical ventilation, NA: not applied, NE: norepinephrine, PC: platelet concentrate, PE: pulmonary embolism, PP: prone position, PR: prothrombin ratio, RBC: red blood cell, ROSC: return of spontaneous circulation, SAPS II: simplified acute physiology score II, UFH: unfractioned heparin, VV-ECMO: veno-venous extracorporeal membrane oxygenation.