ACUTE PULMONARY EMBOLISM: PATIENT CHARACTERISTIC AND MANAGEMENT STRATEGY IN AN EGYPTIAN COHORT OF PATIENTS

Elzawawy, Tarek H.; Sadaka, Mohammed A.; Mohamed, Enas E; Yossif, Gehan M; Qutb, Mohamed H.

doi:10.21608/jmalexu.2020.147120

ACUTE PULMONARY EMBOLISM: PATIENT CHARACTERISTIC AND MANAGEMENT STRATEGY IN AN EGYPTIAN COHORT OF PATIENTS

Authors

¹ Professor of Cardiology and Angiology, Faculty of Medicine, Alexandria University, Egypt

² Professor of Cardiology and Angiology, Faculty of Medicine ,Alexandria University, Egypt

³ Professor of Chest Diseases, Faculty of Medicine, Alexandria University, Egypt

⁴ Assistant Professor of Cardiology and Angiology, Faculty of Medicine, Alexandria University, Egypt

⁵ Cardiology and Angiology, Faculty of Medicine, Alexandria University, Egypt

10.21608/jmalexu.2020.147120

Abstract

Background: Pulmonary embolism (PE) is a relatively common
cardiovascular emergency. Acute PE is the most serious clinical
presentation of venous thromboembolism. PE is the consequence of deep < br />vein thrombosis (DVT). The aim was to assess clinical presentation, risk
stratification and management of different Egyptian's patients with suspected
diagnosis of acute pulmonary embolism.
Results: Our study is reported that 33.5% of the DVT patients had silent
PE, Patient's risk Stratification showed that 5(5%) had high risk
Stratification, 11(11%) had intermediate risk Stratification and 82(82%)
had low risk Stratification, Patient's treatment showed that 94(94%) had to
take enoxaparine, 3(3%) had to take UF Heprin and warfarin and 3(3%)
had to take enoxaparine, warfarine and streptokinase, and Patient's outcome
showed that in hospital 4(4%) were death and 7(7%) had bleeding
(4(57.1%) hematuria, 2(28.6%) ecchymosis and 1(14.3%) intrauterine).
Conclusion: Females are more susceptible to pulmonary embolism than
males. Most of patients are above age of 50 y. Most of patients have
intermediate Wells score. Most of patients have tricuspid regurge and
pulmonary hypertension with normal left and right ventricular function.
Most of patients have low risk stratification. Anticoagulants are the main
treatment like heparin and warfarin.

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