Study of Cases of Pulmonary Embolism at A Tertiary Care Hospital

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(A), Issue. (1), January
First page: (448) Last page: (472)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Study Of Cases Of Pulmonary Embolism At A Tertiary Care Hospital
Yashdip D Patel1, Harsha D Makwana2*, Ronak Joshi3, Sanjay kumar Solanki4,  Advait Thakore5
13rd year resident, 2Associate Professor,  32nd year resident,  41st year resident, Professor and HOD, Department of Emergency Medicine-Sheth Vadilal Sarabhai General Hospital,Smt. NHL Municipal Medical College, Ahmedabad Pin 38000
Corresponding author email id: drharsham@gmail.com

Online Published on 02-Jan-2019

ABSTRACT

Introduction:Pulmonary embolism is an acute cardiovascular disorder having high mortality rate despite of available diagnostic and treatment modalities.Early recognition and provision of early effective treatment brings good out come with reversal of right ventricular functionAims:To study the cases of pulmonary embolism for demographic data, clinical presentation, risk factors and investigationMaterial and Method:Retrospective study done in 61 patients aged 19-80 years admitted at a tertiary care hospital from January to September 2018. All suspected patients of pulmonary embolism who underwent CTPA were included in the study. Patients <15 years, History of pulmonary trauma and Recurrence were excluded.Result:Details about demographic data, clinical presentation, diagnostic methods, reports and outcome collected. In our study out of 61, 23 patients had positive in CTPAand 42 patients had D-dimmer level>1000 ng/ml. Their main complains were dyspnea, tachypnea, chest pain and cough. In our study 45 patients could discharged and 9 patients expired.Conclusion:PE is a potentially life threatening condition which is difficult to diagnoseclinically but in time diagnostic strategywith CTPA and D-Dimmer, helps inearly recognition and provision of effective treatment which brings good outcome.

Keywords

Pulmonary Embolism, CTPA, D-dimmer

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