Acute pulmonary embolism

Soloff, Louis A.; Rodman, Theodore

doi:10.1016/0002-8703(67)90102-0

Cited by 99 publications

(26 citation statements)

References 50 publications

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“…It is a catastrophic condition and death supervenes within 1 to 2 hours, although the risk persists for 24 to 72 hours even with the initiation of treatment. 7,8 Typical features of acute PE are summarized in Table 1. These features are nonspecific and do not present as a prototypical cluster in a single patient.…”

mentioning

confidence: 99%

Critical Appraisal on the Utility of Echocardiography in the Management of Acute Pulmonary Embolism

Mookadam

Jiamsripong

Goel

et al. 2010

Cardiology in Review

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Echocardiography can be used for rapid and accurate risk stratification of patients with pulmonary embolism to appropriately direct the therapeutic strategies for those at high risk. Echocardiography is an ideal risk stratification tool in this regard because of its easy portability to the emergency room or to the bed side. It can be performed at a relatively low cost and at no risk to the patient. Furthermore, echocardiography allows repetitive noninvasive assessment of the cardiovascular and hemodynamic status of the patient and the response to the therapeutic interventions. Right ventricular hypokinesis, persistent pulmonary hypertension, a patent foramen ovale, and a free floating right heart thrombus are echocardiographic markers that identify patients at a higher risk for morbidity and mortality. Such patients warrant special consideration for thrombolysis or embolectomy.

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mentioning

confidence: 99%

Critical Appraisal on the Utility of Echocardiography in the Management of Acute Pulmonary Embolism

Mookadam

Jiamsripong

Goel

et al. 2010

Cardiology in Review

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“…Serial radiography, despite its limitations, has proved invaluable in the diagnosis of acute massive pulmonary embolism (Soloff and Rodman, 1967; Barraclough and Braimbridge, 1967;Fleischner, 1962;Torrance, 1963;Follath, Burkart, and Fridrich, 1968). What has impressed us even more has been the fact that the radiological signs of acute massive pulmonary embolism have been present in about one-third of the cases in radiographs taken several hours before the acute clinical episode.…”

Section: Discussionmentioning

confidence: 99%

“…Its association with a 'pale' periphery and the 'cut-off' sign has been considerably more significant (Soloff and Rodman, 1967;Barraclough and Braimbridge, 1967;Fleischner, 1962;Tor-Acute massive pulmonary emnbolismn following pulmonary resection rance, 1963). In none of the comparative group of uncomplicated cases have these signs been present.…”

Section: Discussionmentioning

confidence: 99%

Acute massive pulmonary embolism following pulmonary resection

Singh

Mudbidri

Seal

1970

Thorax

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Eighteen cases of acute massive and fatal pulmonary embolism following pulmonary resection are summarized. Clinical presentation is distinct in this group of patients. In one-third of the cases there was radiological evidence of major embolism several hours before the acute dramatic episode. At necropsy there seemed to be no correlation between the vascular area obstructed and the acute clinical deterioration. Longest survival occurred in those patients with (a) the best pre-operative respiratory function, and (b) the least operative and post-operative complications.

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“…Early mortality is high, with 50% of patients dying within 30 minutes, 70% within one hour, and 85% within six hours.2, 3 Greenfield et al4 described the technique of transvenous pulmonary embolectomy in 1968. In 1982 Stewart and Greenfield'5 reported their experience with transvenous catheter embolectomy in 25 patients with class IV and V disease (Table).…”

Section: Commentmentioning

confidence: 99%