Pulmonary Embolism in Medical Patients

PUlmonary embolism Low incidence in chronic renal failure

“…Virchow, in 1858, published the classic triad that bears his name to explain primary deep-vein thrombosis. These three factors, which are still applicable today, are as follows: (1) venostasis, such as occurs in the postoperative state, postmyocardial infarc¬ tion, and congestive heart failure; (2) …”

Thromboembolism

“…In the study of Carlotti (8), the electrocardiogram showed &dquo;cor pulmonale complex&dquo; in 11.8% of the cases of pulmonary embolism. Five percent of his cases showed right bundle branch block.…”

“…Hershey and Bailey (69) treated 24 cases of thrombophlebitis of the lower extremity by means of venous ligation. Carlotti (8) reported the results of femoral vein interruption done for pulmonary embolism in 60 patients on the medical wards of the Massachusetts General Hospital. One case died of thrombosis ascending into the renal vein.…”

“…Carlotti (8) found during the years 1941 to 1945 that pulmonary emboli were seen two and a half times more often among medical than among surgical patients at the Massachusetts General Hospital. Carlotti (8) found during the years 1941 to 1945 that pulmonary emboli were seen two and a half times more often among medical than among surgical patients at the Massachusetts General Hospital.…”

The Diagnosis and Management of Pulmonary Embolism

“…Especially at risk are those ill with heart disease (Carlotti, Hardy, Linton and White, 1947;Short, 1952;Byrne, 1955), neoplasms (Trousseau, 1877;Sproul 1938), injuries to the bones of the legs (Sevitt and Gallagher, 1959), recent operations (Barker Nygaard, Walters and Priestley, 1940) or thrombophlebitis (Byrne, 1955). Although almost every patient with pulmonary embolism or pulmonary infarction has a source of thrombus formation in the venous system of the abdomen or legs, the condition will be diagnosed on the evidence in the heart or lungs.…”