background: pregnancy causes a small increase in risk of venous thromboembolism (vte), but a large increase in concern upon presentation during cesarean section with symptoms of pulmonary embolism (pe). pulmonary embolism clinical manifestations during spinal anesthesia could be misleading. we have presented 2 interesting cases of pregnant women underwent spinal anesthesia for cesarean section ...

undoubtedly the use of echo-cardiography (including transoesophageal echocardiography), laboratory findings and venous ultrasonography should be encouraged in patients with suspected high-risk PE. Management decisions should be taken based on all collected data on a case by case basis. Each test comes to the rescue of the others. 'One for all and all for one'. Right ventricular heart failure fr...

Pulmonary embolism is a common cardiovascular emergency, but it is still often misdiagnosed due to its unspecific clinical symptoms. Elevated troponin concentrations are associated with greater morbidity and mortality in patients with pulmonary embolism. Right ventricular ischemia due to increased right ventricular afterload is believed to be underlying mechanism of elevated troponin values in ...

The follow-up of patients with acute pulmonary embolism is an essential component their comprehensive care. This manuscript will discuss the critical components involved in outpatient embolism, including development post hospitalization clinics, assessment functional capacity and residual right ventricular function, anticoagulation, recurrence risk venous thromboembolism, retrieval inferior ven...

Arterial hypoxemia is a common finding in acute pulmonary embolism, and its severity is generally assumed to be proportional to the extent of pulmonary artery obstruction. We studied blood gases (during room air breathing and 100% oxygen breathing) and hemodynamic data is seven patients with massive pulmonary embolism and circulatory failure. All measurements were made before and 30 minutes aft...

Acute pulmonary embolism (PE) is a frequent life-threatening condition in emergency departments. Careful diagnosis is important, and different diagnostic tests such as electrocardiogram (ECG), biochemical markers, echocardiogram, and computed tomography are required. Although ECG is a cheap and rapid diagnostic test for pulmonary embolism, it has some limitations in the differential diagnosis o...

OBJECTIVES To characterize chest radiographic interpretations in a large population of patients who have received a diagnosis of acute pulmonary embolism and to estimate the sensitivity and specificity of chest radiographic abnormalities for right ventricular hypokinesis that has been diagnosed by echocardiography. DESIGN A prospective observational study at 52 hospitals in seven countries. ...

The aim was to establish the prevalence of pulmonary embolism in 21 children (median age 12 months; range 5-132 months) with central venous lines in situ > 3 months (median 10 months; range 3-47). Twelve-lead electrocardiograms (ECGs) and echocardiograms were analysed in a retrospective study using ECG and echocardiographic criteria for pulmonary embolism-previously established and validated in...