Acute pulmonary embolism: A review

Saleh, Jalal-Eddeen Abubakar; Alasia, Datonye

doi:10.4314/njm.v16i1.37274

Cited by 5 publications

(7 citation statements)

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“…Pulmonary thromboembolism (PTE) is a common clinical disorder associated with high morbidity and mortality [1]. It displays geographical and ethnic differences [2,3].…”

Section: Introductionmentioning

confidence: 99%

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Pulmonary thromboembolism in an East African tertiary referral hospital

Ogeng’o

Obimbo

Olabu

et al. 2011

J Thromb Thrombolysis

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Pulmonary thromboembolism (PTE) is a frequent cause of mortality in Kenya, but its characteristics are hardly reported in Subsaharan Africa. To describe the pattern of PTE among black Africans, in a Kenyan referral hospital. Retrospective study at Kenyatta National Hospital (KNH), Nairobi, Kenya. Records of patients seen between January 2005 and December 2009 were examined for mode of diagnosis, comorbidities, age, gender, treatment and outcome. Data were analyzed using SPSS version 15.0 and are presented in tables and bar charts. One hundred and twenty-eight (60 male; 68 female) cases were analyzed. Diagnosis was made by clinical evaluation, a Well's score of >4.0, high D-dimer levels and ultrasound demonstration of a proximal deep venous thrombosis (DVT, 35.9%), lung spiral computer tomography (CT, 50%), multidetector CT (7.8%) and angiography (6.3%). Most frequent comorbidities included DVT (36%); hypertension (18.8%); pulmonary tuberculosis (PTB, 12.5%); HIV infection (10.9%), pueperium, diabetes mellitus and cigarette smoking (9.4% each). Mean age was 40.8 years (range 5-86 years) with a peak between 30 and 50 years. Over 46% of patients were aged 40 years and less. Male:female ratio was 1:1.13. All the patients were treated with anticoagulants and thrombolytics with only one having embolectomy. Ninety-two patients (71.9%) recovered, 18.8% of them with cor pulmonale, while 28.1% died. PTE is not uncommon in Kenya. It affects many individuals below 40 years without a gender bias, and carries high morbidity and mortality. Associated comorbidities include venous thrombosis, lifestyle conditions and communicable diseases. Control measures targeting both are recommended.

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“…Pulmonary thromboembolism (PTE) is a common clinical disorder associated with high morbidity and mortality [1]. It displays geographical and ethnic differences [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…In Subsaharan Africa, with changing lifestyles and increase in cardiovascular risk factors [5], rise in its prominence is largely expected. Preliminary reports indicate that it is not uncommon [1,6]. In Kenya, it is a frequent cause of cardiovascular death [7].…”

Section: Introductionmentioning

confidence: 99%

Pulmonary thromboembolism in an East African tertiary referral hospital

Ogeng’o

Obimbo

Olabu

et al. 2011

J Thromb Thrombolysis

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“…Till now, spinal cord injury, immobilization, malignancy, recent surgery and/or trauma, lower limb fractures and joint replacements are considered as the major risk factors of PE. However, 30% of patients with PE have no detectable provoking factors [12] and 'in Sub-Saharan Africa, preliminary studies have shown that PE was scarce' [13]. Methodology Taking into account the specifics of the topic under consideration, the most appropriate when writing this article was the use of the а systematic review of the literature was developed in three main processes, considering the criteria.…”

Section: Pulmonary Embolism (Pe)mentioning

confidence: 99%

Justification of using Computed Tomography and Magnetic Resonance Imaging for Deep Venous Thrombosis and Pulmonary Embolism

Bodnar

et al. 2021

Int. J. Onl. Eng.

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Deep vein thrombosis (DVT) is a medical condition, occurs when a blood clot forms in a deep vein and pulmonary embolism (PE) occurs when a blood clot gets lodged in an artery in the lung, affecting blood flow to part of the lung.The frequencies of using computed tomography (CT) and magnetic resonance imaging (MRI) to diagnose deep venous thrombosis and pulmonary embolism is increasing day by day.Both the technics are noninvasive and provide prompt results. But there are a good number of alternative technics for the same purposes. That is why, till now scholars and respective professionals are interested to know more about the justification and comparative effectiveness of CT and MRI in detecting DVT and PE.This review aimed to analyze the history of several detecting methods for DVT and PE and to dig out the clear concepts about the effectiveness and patient compliances of CT and MRI in detecting deep venous thrombosis and pulmonary embolism. For proper analysis a lot of research as well as meta-analysis had been studied.From this article besides scholars and professionals, general readers will get a clear concept about the features, effectiveness and justifications of CT and MRI in treating DVT and PE.

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“…This decision was observed to have changed the overall clinical dynamics of this patient and has been given class IB recommendation by the European Society for Cardiology 2019 (13). Computed tomography pulmonary angiography (CTPA) is the imaging patients (4) and distinguishing their clinical features poses a diagnostic challenge in acute phase especially during this pandemic (5). High index of suspicion is therefore imperative as sign and symptoms are nonspecific.…”

Section: Case Presentationmentioning

confidence: 99%

Pulmonary embolism in the COVID-19 pandemic era: Importance of bedside electrocardiography, echocardiography and use of Tenecteplase.

Nwako¹,

Nwako²,

Nwako³

et al. 2021

REJHS

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Pulmonary embolism is a blockage in one of the pulmonary arteries in the lungs. Globally, it is the third most frequent acute cardiovascular syndrome behind myocardial infarction and stroke. This is a 43-yearold Nigerian diabetic man who had liposuction three weeks before presenting with sudden onset breathlessness, productive cough, chest pain, fever, inability to complete a sentence and inability to carry out his normal daily activities during this coronavirus 2019 (COVID-19) pandemic. He was tachypneic, tachycardic, hypotensive with rapidly dropping oxygen saturation (84%-86%, 80%-84%). This presented a diagnostic challenge which was rapidly resolved with bedside electrocardiography and echocardiography. A diagnosis of pulmonary embolism was sustained. Subsequent SARS-COV-2 PCRbased test was negative. He was successfully managed with an antithrombotic agent, tenecteplase, without any adverse events. Keywords: COVID-19, pulmonary embolism, tenecteplase, electrocardiography, echocardiography

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Acute pulmonary embolism: A review

Cited by 5 publications

References 0 publications

Pulmonary thromboembolism in an East African tertiary referral hospital

Pulmonary thromboembolism in an East African tertiary referral hospital

Justification of using Computed Tomography and Magnetic Resonance Imaging for Deep Venous Thrombosis and Pulmonary Embolism

Pulmonary embolism in the COVID-19 pandemic era: Importance of bedside electrocardiography, echocardiography and use of Tenecteplase.

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