The diagnosis of pulmonary embolism is based on several distinct steps. Faced with the suspicion embolism, we are led to use a clinical probability score guide rest examinations. Revised Geneva and Wells two best validated scores. They identify low-, medium-, high-risk patients in simple way. third step, if not high, assay D-dimers. A negative result excludes predictive value close 100%. last t...

OBJECTIVES To determine the association between physical inactivity (that is, a sedentary lifestyle) and incident idiopathic pulmonary embolism. DESIGN Prospective cohort study. SETTING Nurses' Health Study. PARTICIPANTS 69 950 female nurses who completed biennial questionnaires from 1990 to 2008. Main outcome measures The primary outcome was idiopathic pulmonary embolism confirmed in med...

the lack of pathognomonic signs and symptoms makes the diagnosis of pulmonary embolism (pe) difficult. here, we report a case of a 42-year-old man presented to the emergency department with worsening epigastric pain, hypotension, frank bradycardia, and final diagnosis of pe. although previous studies have indicated that abdominal pain was observed in 6.7% of patients with pe, the exact reason f...

BACKGROUND Studies show the In-hospital Mortality for Pulmonary embolism using Claims daTa (IMPACT) rule can accurately identify pulmonary embolism (PE) patients at low-risk of early mortality in a retrospective setting using only claims for the index admission. We sought to externally validate IMPACT, Pulmonary Embolism Severity Index (PESI), simplified PESI (sPESI) and Hestia for predicting e...

introduction antiphospholipid syndrome (aps) associated with intra-cardiac thrombus and pulmonary embolism is infrequent. however, the presence of pleural effusion is extremely rare. case presentation a 42-year-old woman, admitted with palpitation, dyspnea and history of stroke and thrombocytopenia is described. doppler sonography revealed deep vein thrombosis. moreover, subsequent investigatio...

Studies on the association between asthma and pulmonary thromboembolism are considerably limited. We investigated whether pulmonary embolism is associated with asthma using a nationwide cohort study. We identified 31,356 patients with newly diagnosed asthma in 2002-2008 and 125,157 individuals without asthma randomly selected from the general population, frequency matched by age, sex and index ...