Two faces of pulmonary embolism
Abstract
Objective. The aim of this paper is to present two completely different clinical manifestations of pulmonary embolism which the author encountered in the field. In both cases CT angiography confirmed massive embolism. Methodology. The data from medical documentation were used to present cases of two patients with pulmonary embolism. Case report. The first one presents a case of a 62-year-old man who called emergency service because of a sudden intense pressure-like chest pain, accompanied by sweating and tingling in both hands. Physical exam showed tachypnea, SaO2 of 80%, with auscultatory finding of weakened breath sound on left side basal, BP= 110/60 mmHg on both sides. ECG registered sinus rhythm, HR = 90 / min, new incomplete right bundle branch block and flattened T wave in precordial leads. Patient's history revealed an oncologic diagnosis, plaster immobilization on right lower leg and previous pulmonary embolism 9 years ago. The patient was transported to the emergency medical institution, with suspected diagnosis of pulmonary embolism, which was eventually confirmed by CT pulmonary angiography. The other is the case of a 48-year-old man presenting with short-term loss of consciousness followed by spontaneous recovery, which was the reason for contacting the emergency service. Healthy, former active athlete, without any risk factors for cardiovascular disease, also without predisposing factors for the development of deep vein thrombosis. Upon our arrival, he…
Read the paper
Related studies
- Contribution of social science to large scale biodiversity conservation: A review of research about the Natura 2000 network
- The alignment of agricultural and nature conservation policies in the European Union
- Determination of ecological significance based on geostatistical assessment: a case study from the Slovak Natura 2000 protected area
- Routledge Handbook of the Study of the Commons
- Farmers' acceptance of results-based agri-environmental schemes: A German perspective
- Approaches to Identify the Value of Seminatural Habitats for Conservation Biological Control
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.