The management of patients with acute pulmonary embolism is made challenging by its wide spectrum of clinical presentation and outcome, which is mainly related to patient haemodynamic status and right ventricular overload. Mechanical embolic obstruction and neurohumorally mediated pulmonary vasoconstriction are responsible for right ventricular overload. The pathophysiology of acute pulmonary e...

PURPOSE OF REVIEW Until recently, little was known about the long-term outcome of pulmonary embolism. Long-term mortality and recurrence rates, the case fatality rate of recurrent events, and the frequency of persistent vascular defects remained largely unknown. Improvements in our knowledge of these aspects may help to define the optimal long-term treatment of pulmonary embolism. This review w...

Pulmonary embolism is considered as a great masquerader due to its frequent nonspecific signs and symptoms. Typically pulmonary embolism is under-diagnosed or over-diagnosed. In this study a patient with pulmonary embolism is reported in which the patient exhibited two unusual manifestations namely; right upper quadrant abdominal pain and ST-T elevation in anterior precordial leads. Due to the ...

BACKGROUND Chronic thromboembolic pulmonary hypertension after pulmonary embolism is associated with high morbidity and mortality. Understanding the incidence of chronic thromboembolic pulmonary hypertension after pulmonary embolism is important for evaluating the need for screening but is also a subject of debate because of different inclusion criteria among previous studies. We determined the...

Hydatid cyst is a helminth infection. The rupture of a hepatic hydatid cyst in inferior vena cava is a rare and lethal complication. Pulmonary embolism is the commonest manifestation. The diagnosis of hydatid cyst is made by histopathological or serological examination, and imaging may suggest the probability of hydatid cyst. Surgical treatment should be performed with caution and always under ...

1 Lesser BA, Leeper KV Jr. Stein PD, Saltzman HA, Chen J, Thompson BT, et al The diagnosis ofacute pulmonary embolism in patients with chronic obstructive pulmonary disease. Chest 1992; 102:17-22 2 Lippmann ML, Fein AM. Pulmonary embolism in the patient with COPD: a diagnostic dilemma. Chest 1981; 79:39-42 3 Goldberg SK, LipschutzJ, Fein AF, Lippmann ML. Hypercapnia complicating massive pulmona...

1 Lesser BA, Leeper KV Jr. Stein PD, Saltzman HA, Chen J, Thompson BT, et al The diagnosis ofacute pulmonary embolism in patients with chronic obstructive pulmonary disease. Chest 1992; 102:17-22 2 Lippmann ML, Fein AM. Pulmonary embolism in the patient with COPD: a diagnostic dilemma. Chest 1981; 79:39-42 3 Goldberg SK, LipschutzJ, Fein AF, Lippmann ML. Hypercapnia complicating massive pulmona...

Peripheral blood hypereosinophilia reflects various underlying disorders. However, its thromboembolic consequences are not often highlighted. We report a case of acute pulmonary embolism in a 42 year-old male prisoner hospitalized for erythrodermic psoriasis who presented with generalized edema and shortness of breath. Severe eosinophilia (absolute eosinophil count 6232/ΜL) was also noted. Alth...

CONTEXT Previous studies have evaluated the safety of relatively complex combinations of clinical decision rules and diagnostic tests in patients with suspected pulmonary embolism. OBJECTIVE To assess the clinical effectiveness of a simplified algorithm using a dichotomized clinical decision rule, D-dimer testing, and computed tomography (CT) in patients with suspected pulmonary embolism. D...

BACKGROUND AND OBJECTIVE Pulmonary embolism is potentially life-threatening in patients with lung cancer, but the clinical studies on patients with lung cancer having asymptomatic pulmonary embolism were barely reported. METHODS Clinical data of patients with lung cancer were obtained from the Department of Respiratory and Critical Care Medicine of Tianjin Chest Hospital during July 2012 and ...