Acute pulmonary embolism
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Tarih
2012
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Logos Medical Publishing
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Pulmonary embolism (PE) is a common and life-threatening emergency cardiovascular disorder. PE does not occur with a specific clinical picture, so the diagnosis can be difficult. Early diagnosis and treatment is crucial to save lives. PE an deep vein thrombosis (DVT) is associated with venous thromboembolism (VTE) and have common predisposing factors. In most cases, Cause of PE commonly is DVT. Among the factors that cause PE include age, history of VTE and such as cancer, neurological disease, acute respiratory failure or heart disease that requires long hospitalization diseases, oral contraceptive use and congenital or acquired thrombophilia. Smokers, obese people, patients with hypertension or metabolic syndrome has been reported that a high risk of PE. Increases plasma level of D-dimer that fibrin degradation product. The venous ultrasound of lower extremity is first step tests in patients with suspected PE. Because it's noninvasive, easy to apply and has a high specificity. Normal ventilation-perfusion (V/Q) scintigraphy is a highly secure PE outside. Single-detector spiral CT, is sufficient in showing the presence of segmental or proximal level clinically apparent PE. Pulmonary angiography is extremely reliable, but is an invasive test. Critical condition in which the patients with suspected PE echocardiography at the beginning of beds, especially the granting of emergency treatment is useful for decision. The aim of treatment is to ensure the re-flow from the pulmonary artery is clogged. The first-line treatment of patients with high-risk PE is thrombolytic therapy is that very few absolute contraindications.
Açıklama
Anahtar Kelimeler
Anticoagulation, D-Dimer, Deep Vein Thrombosis, Pulmonary Embolism
Kaynak
Goztepe Tip Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
27
Sayı
1
