Clinical attributes of pulmonary embolism according to the hospital register

• Botova Svetlana N.
• Pochinka Ilya G.
• M.I. Dvornikova
• Leonid G. Strongin
• T.M. Guryeva

Abstract

Objective - to describe the clinical attributes of pulmonary embolism (PE), and diagnostic and treatment activi­ties according to the hospital register.

Materials and Methods. PE hospital register for 2013-2015 was analyzed.

Results. PE register for 2013-2015 includes data about 151 patients. Most of the patients were younger than 65 years old, almost equal ratio of men and women. The most common predisposing factor was previous surgery (13%). The most common symptom of PE was dyspnea (95%). Analysis of the results of ultrasound examination of the lower extremities confirms the necessity and obligation of the study for accurate diagnosis of deep vein throm­bosis (DVT) as well as the lack of clinics does not guarantee the absence of thrombosis. More than half of patients with PE had a central location of blood clots. Most patients belonged to the group of intermediate-low risk. One-third of patients with PE had infarct- pneumonia. Thrombolytic therapy was 44% of patients, complications were few. Hospital mortality was 11.9%.

Conclusions. 1. The absence of DVT features does not rule out its existence and requires mandatory ultrasound veins in all patients with PE. 2. More than half of patients with PE had a central location of blood clots. 3. Approxi­mately 40% of hospitalized patients have indications for reperfusion therapy (PE high and intermediate-high risk of adverse outcome). 4. Against the background of adequate antithrombotic therapy in the majority of cases there is a favorable outcome of PE, hospital mortality was 11.9%.

Keywords:pulmonary embolism, deep vein thrombosis, reperfusion therapy

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