Pulmonary embolism history and symptoms: Difference between revisions
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#Hemodynamic instability and [[syncope]] (associated with massive pulmonary embolism) | #Hemodynamic instability and [[syncope]] (associated with massive pulmonary embolism) | ||
#In the elderly, it may mimick as indolent [[pneumonia]] or [[heart failure]]. | #In the elderly, it may mimick as indolent [[pneumonia]] or [[heart failure]]. | ||
Thus, the symptoms are highly variable, nonspecific, and common among patients with and without PE | Thus, the symptoms are highly variable, nonspecific, and common among patients with and without PE. | ||
Pulmonary embolism should be suspected in all patients who present with the following symptoms, without an alternative obvious cause. | |||
* [[Dyspnes]] (new or worsening) | |||
* [[chest pain]] | |||
* sustained [[Hypotension]] | |||
==References== | ==References== | ||
Revision as of 16:03, 17 November 2011
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editors-in-Chief: Ujjwal Rastogi, MBBS [2]
Synonyms and keywords: PE
Overview
Symptoms of Pulmonary embolism depend upon the severity of the disease. It can also be asymptomatic and diagnosed by imaging procedures performed for other purposes[1]. Prospective Investigation Of Pulmonary Embolism Diagnosis Study (PIOPED) found the following symptoms in 97% of patients with angiographic proven PE[2].
The absence of this triad reduces the clinical probability of PE. Symptoms or signs of lower extremity deep venous thrombosis (DVT) can also be present in the patient.
History & Symptoms
Three major clinical presentations:
- Dyspnea with or without pleuritic chest pain and hemoptysis
- Hemodynamic instability and syncope (associated with massive pulmonary embolism)
- In the elderly, it may mimick as indolent pneumonia or heart failure.
Thus, the symptoms are highly variable, nonspecific, and common among patients with and without PE.
Pulmonary embolism should be suspected in all patients who present with the following symptoms, without an alternative obvious cause.
- Dyspnes (new or worsening)
- chest pain
- sustained Hypotension
References
- ↑ Agnelli G, Becattini C (2010). "Acute pulmonary embolism". N Engl J Med. 363 (3): 266–74. doi:10.1056/NEJMra0907731. PMID 20592294.
- ↑ Stein PD, Beemath A, Matta F, Weg JG, Yusen RD, Hales CA; et al. (2007). "Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II". Am J Med. 120 (10): 871–9. doi:10.1016/j.amjmed.2007.03.024. PMC 2071924. PMID 17904458.