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Query: UMLS:C0034065 (pulmonary embolism)
 14,979 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Diagnosing pulmonary embolism (PE) we can use many investigations. We are presenting analysis of pulmonary artery investigations performed using spiral CT during 18 months in the J. Jonston hospital in Lubin. There were 38 PE cases diagnosed. They were complicating following states: surgical intervention, lower limbs profound thrombophlebitis, COPD, chronic circulatory insufficiency, neoplastic disease, oral contraceptive drugs and unknown. PE affected 0.1% surgical departments patients (that means 0.2% subjected to operation), and 0.4% internal diseases departments patients. 16 cases, i.e. 42% were connected with operative procedures. The largest group of internal medicine departments patients with PE were those suffering from severe chronic airway obstruction (9 cases per 27), chronic circulatory insufficiency (3 per 27), lower limbs profound thrombophlebitis (4 per 27). This data shows, as important problem is PE differential diagnostics of patients suffering from severe internal diseases especially and an important role of spiral computer tomography in it.
Pol Merkur Lekarski 2002 Jun
PMID:[Diagnosis of pulmonary embolism in the age of spiral computed tomography ]. 1236 63

34-years old patient with suspected massive pulmonary embolism (PE) is described. D-dimer test, venous ultrasonography and spiral-CT were used to rule out suspected PE. Bilateral pneumonia was diagnosed. Difficulties in the differential diagnosis of pneumonia and PE are discussed.
Pneumonol Alergol Pol 2002
PMID:[Differential diagnosis of pneumonia and pulmonary embolism]. 1270 83

A case of a 37-year-old male admitted to the hospital due to dyspnea and chest pain is presented. Electrocardiogram showed negative T waves in V1 and V2 as well as subtle ST segment elevation in all precordial leads. Cardiac enzymes were moderately elevated. The initial diagnosis was myocarditis or acute coronary syndrome, however, transthoracic echocardiography showed a marked right ventricular overload which suggested acute pulmonary embolism. The latter diagnosis was confirmed by transesophageal echocardiography which revealed thrombosis of both left and right pulmonary arteries. The patient received thrombolysis and anticoagulants, and his condition improved. He was discharged home and the course of a six-month follow-up was uneventful.
Kardiol Pol 2002 Dec
PMID:[Myocardial injury secondary to acute pulmonary embolism - a case report]. 1296 Sep 84

A case of a 44-year-old male with massive pulmonary embolism is presented. Due to recent intra-cranial haemorrhage and on-going urinary bleeding, the patient was not treated with anticoagulant or thrombolytic agents. Because of the symptoms of cardiogenic shock, an urgent surgical pulmonary embolectomy was performed, using an approach firstly described by Trendelenburg in 1908. The procedure was performed without a cardio-pulmonary by-pass which was contra-indicted in this patient. During surgery, a massive thrombus from both right and left pulmonary arteries was removed. The patient survived surgery and seven days later was transferred to another hospital where the rehabilitation process was successfully continued.
Kardiol Pol 2003 Jun
PMID:[Acute, massive pulmonary embolism treated with surgical embolectomy without cardio-pulmonary by-pass - a case report]. 1455 14

Excessive coagulation and impaired fibrinolysis lead to many hemostatic disorders, which enhance the risk of development of life-threatening cardiovascular diseases such as myocardial infarction, stroke, deep venous thrombosis and pulmonary embolism, belonging to the most important factors influencing morbidity and mortality in civilized societies. The adverse events induced by currently used drugs, the need for regular monitoring of coagulation parameters, inconvenient, in some cases, route of administration stimulate further search for novel, effective and safe methods of therapies of these disorders. In this paper, we describe those new agents which are now under experimental and clinical study, such us prostanoids, nitroaspirin, GP IIb/IIIa receptor antagonists, thienopyridine derivatives, collagen-GPVI and von Willebrand factor-GPIb-IX contact blockers, direct thrombin inhibitors, inhibitors of thrombin-platelet interactions, factor VII inhibitors and tissue factor-factor VII contact blockers. Based on the available literature, we discuss the possible role of these agents in the future prevention and treatment of thromboembolic diseases.
Pol J Pharmacol
PMID:Progress in pharmacotherapy of thrombosis. 1458 10

Diagnosis of acute pulmonary embolism is difficult. The aim of the study was analysis of electrocardiographic (ECG) changes in patients with acute pulmonary embolism and analysis of correlations between electrocardiographic changes and pulmonary angiography and pulmonary artery pressure. ECG in 22 patients aged 47 +/- 13 years old (9 women and 13 men) with confirmed pulmonary embolism and without pre-existing cardiorespiratory diseases were analyzed. Most frequently tachycardia, negative T wave in III, aVF and precordial leads, dextrogyria and dextrogram in ECG were observed. In 20 patients 3 or more criteria were found. Index Milleri--an quantitative method of estimation of pulmonary embolism correlated with pulmonary artery pressure. Conclusion of this study is that ECG is one of the important diagnostic tests in patients with pulmonary embolism: it gives us information about changes in pulmonary arteries.
Pneumonol Alergol Pol 2003
PMID:[Value of electrocardiography in the diagnosis of acute pulmonary embolism]. 1458 18

In a 52 year-old male patient with a past history of two strokes, an occlusion of the basilar cerebral artery in the area of bifurcation into the posterior cerebral arteries was angiographically confirmed. Following an intra-arterial application of rt-PA a partial revascularization of the occluded posterior arteries was observed. After an interval of 8 hours rt-PA was administered again, resulting in a complete recanalization of the arteries. The patient's neurological state was stabilized but not improved, despite a systematic anti-thrombotic treatment. His sudden death on the 23rd day of treatment was caused by pulmonary embolism. A postmortem examination indicated a complete patency of the Willis circle. The basilar artery was unchanged, while within the posterior cerebral arteries only a moderate thickening of the intima and a small dissection of the internal elastic membrane were found. There was no evidence of bleeding into the CNS. It was assumed that thrombolysis had resulted in a total revascularization of the occluded region and was uncomplicated. Ischemic changes within the nervous tissue had probably developed before the thrombolytic treatment, and were responsible for the lack of improvement. The patient's death due to pulmonary embolus in spite of the continued anticoagulant treatment, and his history of strokes in the young age, suggested the presence of some coagulation system abnormalities that could not be detected because of the thrombolytic and anticoagulant drugs administration.
Neurol Neurochir Pol
PMID:[Intra-arterial thrombolysis for acute angiographically proven occlusion in bifurcation of basilar artery. Case report]. 1459 63

A case of 53-year-old male who was admitted to the hospital due to a chest pain, is presented. ECG showed ST elevation in precordial leads. The patient was successfully treated with primary angioplasty. On the third day of hospitalization, he collapsed with hypotension. Routine echocardiographic examination revealed signs of pulmonary embolism. An adequate pharmacotherapy was implemented and the patient improved. After 10 days of treatment and rehabilitation he was discharged home. The present case report points out on pulmonary embolism as a rare but potentially life-threatening complication of coronary angioplasty.
Kardiol Pol 2003 Nov
PMID:[Acute myocardial infarction treated with primary PCI complicated by pulmonary embolism--a case report]. 1466 95

A case of a 58-year-old female patient with unstable angina is presented. Two weeks earlier the patient suffered from acute myocardial infarction treated with thrombolysis. The patient underwent surgical revascularisation which was complicated by acute pulmonary embolism. Repeated surgery and inspection of pulmonary arteries revealed the presence of thrombus which was successfully removed. The post-operative course was uneventful. The causes and treatment of pulmonary embolism complicating coronary artery by-pass grafting are discussed.
Kardiol Pol 2003 Nov
PMID:[Pulmonary embolism in a patient with unstable angina treated with surgical revascularisation--a case report]. 1466 96

Pulmonary embolism is a common disease which may cause diagnostic difficulties. To establish a diagnosis additional examinations are needed. Except typical for pulmonary embolism EKG changes the value of untypical ST-T changes connected with cardiac ischaemia is appreciated. The case below presents the usefulness of EKG monitoring in acute pulmonary embolism.
Pol Arch Med Wewn 2003 May
PMID:[Diagnostic difficulties in acute pulmonary embolism diagnosis: ECG changes evolution: a case report]. 1476 82


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