Clinical profile, diagnosis and management of patients presenting with symptomatic pulmonary embolism.
Indian J Chest Dis Allied Sci
;
2006 Apr-Jun; 48(2): 111-4
Article
Dans Anglais
| IMSEAR
| ID: sea-29942
ABSTRACT
OBJECTIVE:
To study the clinical profile and diagnostic methods in patients with symptomatic pulmonary embolism (PE).METHODS:
Prospective assessment of clinical features, radiology and outcome of patients presenting with symptomatic PE over an 18-month period.RESULTS:
During study period, 24 patients with a mean age of 39 +/- 12.1 years were diagnosed to have symptomatic pulmonary embolism. Dyspnoea (91.7%) and cough (58.3%) were the predominant complaints. Spiral computed tomographic pulmonary angiography (CTPA) was performed in 21 (87.5%) patients and perfusion scans in 14 (58.4%) patients. Echocardiography performed in all patients revealed evidence of pulmonary artery hypertension and right ventricular dyskinesia in 20 (83.3%) and 15 (62.5%) patients, respectively. Thrombolysis with streptokinase was performed in 14 (58.3%) patients. All patients received low molecular weight heparin followed by warfarin. Of the 24 patients, 20 (83.3%) were discharged and are under regular follow-up; four patients died.CONCLUSIONS:
Pulmonary embolism is a common problem and can be easily diagnosed provided it is clinically suspected. Early diagnosis and aggressive management is the key to successful outcome.
Texte intégral:
Disponible
Indice:
IMSEAR (Asie du Sud-Est)
Sujet Principal:
Embolie pulmonaire
/
Femelle
/
Humains
/
Mâle
/
Études prospectives
/
Adulte
/
Inde
/
Adulte d'âge moyen
Type d'étude:
Etude diagnostique
/
Étude observationnelle
/
Facteurs de risque
/
Étude de dépistage
Pays comme sujet:
Asie
langue:
Anglais
Texte intégral:
Indian J Chest Dis Allied Sci
Année:
2006
Type:
Article
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