Diagnosis and Treatment of Acute Pulmonary Embolism: A Single Center Experience
Abstract
Aim: Pulmonary embolism is a potentially life-threatening cardiovascular disease
frequently encountered in emergency departments. The computed tomography
pulmonary angiography is the imaging modality of choice in the diagnosis of
pulmonary embolism. This study aimed to examine the effects of clinical findings and
treatment methods on prognosis and mortality by examining patients diagnosed with
acute pulmonary embolism in the emergency department.
Methods: In this retrospective cohort study, records of patients with acute
pulmonary embolism were accessed from the archive. Patients' age, gender, medical
complaints, co-morbidities, the treatment method applied to the patients, and the
clinical outcomes of the patients were analyzed. The statistical distribution of the
patients' demographic and clinical information was calculated.
Results: The most common complaint of 206 patients with acute pulmonary embolism
was dyspnea. 25.7% patients had massive pulmonary embolism. The blood d-dimer,
lactate and troponin T levels of patients with massive pulmonary embolism were
found to be higher than patients with sub-massive pulmonary embolism. Thrombolytic
therapy was administered to 6.8% of acute pulmonary embolism patients and it was
found to be a method that had a statistically positive effect on survival. D-dimer, white
blood cell, neutrophil, blood urea nitrogen, lactate and troponin T values were found
to be higher in mortal patients. It was determined that 13.1% of the patients died.
Conclusion: The sooner the early diagnosis of acute pulmonary embolism, which
can be mortal in the emergency department, is made and the treatment is started,
the mortality rate will decrease significantly.
Source
Acta Medica AlanyaVolume
6Issue
1URI
https://dergipark.org.tr/tr/download/article-file/2058818https://hdl.handle.net/20.500.12868/1754