(Acute pulmonary embolism)
نویسندگان
چکیده
Ăvod: PĞúcna embĂłlia je relatĂvne ÄastĂŠ a nebezpeÄnĂŠ ochorenie s variabilnou manifestĂĄciou od benignej aĹž po fatĂĄlnu. Autori v retrospektĂvnej ĹĄtĂşdii prezentujĂş, ako sa poÄas poslednĂ˝ch 25 rokov menil vĂ˝skyt, diagnostika lieÄba pĞúcnej embĂłlie. MetĂłdy: vychĂĄdzali z dokumentĂĄcie 860 (432 muĹžov) pacientov potvrdenou pĞúcnou embĂłliou, ktorĂ boli hospitalizovanĂ Äase januĂĄra 1996 do decembra 2020 na I. internej klinike Univerzitnej nemocnice Martine. Zamerali rizikovĂŠ faktory, diagnostiku lieÄbu embĂłlie jednotlivĂ˝ch rokoch tomto Äasovom obdobĂ. VĂ˝sledky: Pacienti embĂłliou tvorili 1,04 % zo vĹĄetkĂ˝ch hospitalizovanĂ˝ch uvedenom obdobĂ priemernĂ˝m vekom 63,9 (SD - 16,98). PriemernĂ˝ vek muĹžov 59,6 14,71) bol oproti ĹženĂĄm 68,4 16,88) niŞťĂ. Na zĂĄklade rizikovej stratifikĂĄcie podÄža odporuÄenĂ EurĂłpskej kardiologickej spoloÄnosti pacienti vysokĂ˝m rizikom 13,2 %, so strednĂ˝m 40,9 nĂzkym 45,9 %. Zdroj odhalenĂ˝ u 42,6 faktory ĹžilovĂŠho tromboembolizmu 52,4 systĂŠmovĂĄ trombolĂ˝za bola podanĂĄ 19,5 embĂłliou. IntrakraniĂĄlne krvĂĄcanie komplikĂĄcia systĂŠmovej trombolĂ˝zy vyskytla 1,1 pacientov. VÄasnĂĄ (hospitalizaÄnĂĄ) mortalita pĞúcnu embĂłliu 6,9 ZĂĄver: potvrdili narastajĂşcu incidenciu embĂłlie, klesajĂşcu rizikom, zniĹžujĂşcu vÄasnĂş mortalitu embĂłliu, nepotvrdili narastajĂşci priemernĂ˝ © 2021, ÄKS.
منابع مشابه
Acute Pulmonary Embolism
Copyright © 2006 American Heart Association. All rights reserved. Print ISSN: 0009-7322. Online 72514 Circulation is published by the American Heart Association. 7272 Greenville Avenue, Dallas, TX DOI: 10.1161/CIRCULATIONAHA.106.62088
متن کاملAcute pulmonary embolism.
Copyright © 2010 Massachusetts Medical Society. The clinical presentation of acute pulmonary embolism ranges from shock or sustained hypotension to mild dyspnea. Pulmonary embolism may even be asymptomatic and diagnosed by imaging procedures performed for other purposes. Depending on the clinical presentation, the case fatality rate for acute pulmonary embolism ranges from about 60% to less tha...
متن کاملAcute pulmonary embolism.
In the absence of significant symptoms and signs the diagnosis of pulmonary embolism remains difficult. Sensitivity and specificity of laboratory tests, chest x-ray, ECG, echocardiography and venous studies on their own is low. Ventilation-perfusion scanning establishes or excludes the diagnosis only in those patients with "high-probability" or "normal" scanning results. The diagnosis of pulmon...
متن کاملAcute pulmonary embolism.
A55-year-old man with a history of paroxysmal atrial fibrillation, hypertension, and stroke presented to the emergency room with the acute onset of shortness of breath. He had previously been prescribed warfarin therapy, which was self-discontinued 3 months before admission. A baseline ECG made 6 months before admission showed normal sinus rhythm with a heart rate of 80, an axis of 215°, and no...
متن کاملAcute pulmonary embolism.
Deep vein thrombosis (DVT) and, therefore, pulmonary embolism (PE) are often preventable. Because of the lack of specificity of symptoms and signs, DVT and PE are frequently clinically unsuspected, leading to substantial diagnostic and therapeutic delays and resulting in considerable morbidity and mortality. Furthermore, prophylaxis continues to be dramatically underused. The incidence of venou...
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ژورنال
عنوان ژورنال: Cor et vasa
سال: 2021
ISSN: ['0010-8650', '1803-7712']
DOI: https://doi.org/10.33678/cor.2021.109