MASSIVE PULMONARY EMBOLISM IN OLDER PATIENT: SURVIVAL DESPITE STATISTIC DATA
Abstract
Massive pulmonary thromboembolism is presented in this article on example of clinical case. Clinical investigation, prognosis evaluation tools, diagnosis and acute phase treatment along with prevention of recurrent episode of pulmonary embolism presented. Observed and described clinical case of pulmonary embolism in older patient, when patient was mistakenly diagnosed in emergency department as acute coronary syndrome patient.
Not every case in medical practice are clearly understandable from the first view, but in the case of diagnostic difficulties, attention should be paid to the possible presence of the main risk factors for thromboembolic complications, the auscultators pattern in the lungs, and the possibility of developing PE (usage of widely unknown prognostic scales makes the task of physician easier and diagnosis evaluation more clear) in each clinical case.
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References
2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism, updated / [S. V. Konstantinides, A. Torbicki, G. Agnelli, et al.] // Eur Heart J. – 2015. –No 36 (39). – P. 2642.
Risk factors and basic mechanisms of chronic thromboembolic pulmonary hypertension: a current understanding / I. M. Lang, R. Pesavento, D. Bonderman, J. X. Yuan // Eur Respir J. – 2013. –No 41 (2). –P. 462–468.
Wilbur J. Diagnosis of Deep Venous Thrombosis and Pulmonary Embolism Am Fam Physician / J. Wilbur, B. Shian // Am Fam Physician. – 2012. –No 86 (10). – P. 913–919.
Current diagnosis of venous thromboembolism in primary care: a clinical practice guideline from the American Academy of Family Physicians and the American College of Physicians / [A. Qaseem, V. Snow, P. Barry, E. R. Hornbake, et al.] // Ann Fam Med. – 2007. –No 5 (1). – P.57–62.
Jorge A. Brenes-Salazar Westermark's and Palla's signs in acute and chronic pulmonary embolism: Still valid in the current computed tomography era / A. Jorge // J Emerg Trauma Shock. – 2014. –No 7 (1). –P. 57–58.
ACR Appropriateness Criteria® acute chest pain--suspected pulmonary embolism / [M. A. Bettmann, S. G. Baginski, R. D. White, P. K. Woodard, et al.] // J Thorac Imaging. – 2012. –No 27 (2). – P.28–31.
Cummings K. W .Multidetector computed tomographic pulmonary angiography: beyond acute pulmonary embolism / K. W. Cummings, S. Bhalla // Radiol Clin North Am. – 2010. –No 8 (1). – P. 51–65.
Evaluation of Patients with Suspected Acute Pulmonary Embolism: Best Practice Advice from the Clinical Guidelines Committee of the American College of Physicians / [A. S. Raja, J. O. Greenberg, A. Qaseem, et al]. // Ann Intern Med. – 2015. –No 163 (9). – P.701–11.
Aspirin for preventing the recurrence of venous thromboembolism / [C. Becattini, G. Agnelli, A. chenone, et al.] // N Engl J Med. – 2012. –No 66 (21). – P. 1959–1967.
Association of persistent right ventricular dysfunction at hospital discharge after acute pulmonary embolism with recurrent thromboembolic events / [S. Grifoni, S. Vanni, S. Magazzini, et al.] // Arch Intern Med. – 2006. –No 66 (19). – P. 2151–2156.
Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report / [C. Kearon, E. A. Akl, J. Ornelas, et al.] // Chest. – 2016. –No 149 (2). – P.315–52.
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