Stroke and Respiratory Failure: Mind the Shunt!
European journal of case reports in internal medicine(2021)
Abstract
There are other causes to explain simultaneous presentation of stroke and respiratory failure, which should be kept in mind.The association between arterial and venous thrombosis; be aware of paradoxical embolism and search for intracardiac or intrapulmonary shunts.Platypnoea-orthodeoxia syndrome is characterized by dyspnoea and hypoxaemia induced by orthostatic position and relieved by recumbency; it is a red flag to think of an intracardiac or intrapulmonary shunt.
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Key words
Ischaemic stroke,paradoxical embolism,platypnoea-orthodeoxia syndrome,pulmonary shunt
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