Q: What is pseudo-pulmonary embolus syndrome?

Answer: Shortly after an intravenous heparin bolus, the clinical scenario of collapse is called 'pseudo pulmonary embolus.'

This is not due to a major pulmonary embolus 👉but is thought to be due to an endothelial injury, with the sudden augmented release of IL-6, VVF, and other adhesion molecules 👉 result in an acute adult-type RDS as result of a sudden vascular leak with hypoxia and hypotension

It is observed in patients with underlying heparin-induced thrombocytopenia (HIT).

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