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Pulmonary embolism: obstruction of a pulmonary artery or a branch of the pulmonary arteries most commonly by a clot causing blocked flow of blood out of or back into the heart. Children with predispositions to forming clots such as those with sickle cell disease , cancer, coagulation disorders , and central venous catheters are more likely to ...
The pulmonary embolism rule-out criteria (PERC) helps assess people in whom pulmonary embolism is suspected, but unlikely. Unlike the Wells score and Geneva score , which are clinical prediction rules intended to risk stratify people with suspected PE, the PERC rule is designed to rule out the risk of PE in people when the physician has already ...
Massive pulmonary embolism requires thrombolysis or embolectomy. Thrombolysis can be systemic via IV alteplase (tPA) or catheter-directed. tPA works to break up the clot. A major risk of tPA is bleeding. Thus, patients must be assessed for their risk of bleeding and contraindications.
A piece of either an arterial or a venous thrombus can break off as an embolus, which could then travel through the circulation and lodge somewhere else as an embolism. This type of embolism is known as a thromboembolism. Complications can arise when a venous thromboembolism (commonly called a VTE) lodges in the lung as a pulmonary embolism. An ...
pulmonary embolism (PE) [3] [4] [5] BB00. VTE is a common cardiovascular disorder with significant morbidity and mortality. [3] [4] [5] VTE can present with various symptoms, such as painful leg swelling, chest pain, dyspnea, hemoptysis, syncope, and even death, depending on the location and extent of the thrombus.
These patients are labelled as having chronic thromboembolic disease (CTED). [6] Diagnosis is made after at least three months of effective blood thinning to discern this condition from subacute pulmonary embolism. Diagnostic findings for CTEPH are: [6] Invasively (i.e., in the blood) measured mean pulmonary arterial pressure (mPAP) ≥25 mmHg;
Respiratory associated causes compose 13% to 24% of pediatric chest pain symptoms. Gastrointestinal and psychogenic symptoms reported by parents and patients occur less than 10% of the time. Cardiac causes of pediatric chest pain are found infrequently and are not identified more than 5% of the time. Unknown causes, were estimated to account ...
Lung infarction or pulmonary infarction occurs when an artery to the lung becomes blocked and part of the lung dies. [1] It is most often caused by a pulmonary embolism . Because of the dual blood supply to the lungs from both the bronchial circulation and the pulmonary circulation , this tissue is more resistant to infarction .