Characterization of patients with pulmonary thromboembolism

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Inés Pachón Grajales
Carlos Andrés Agudelo Restrepo
Juan David Uribe Molano
Margarita María Agudelo Zuluaga
Iván Darío Agudelo Zuluaga
Manuel Alejandro Carvajal López
Fernando Coutin Moreno
Diana Alejandra Mendoza Quintero
Jorge Enrique Ortega

Abstract

Introduction: Pulmonary embolism (PE), is acommon complication in clinical practice. Mortality is between 13 % and 58%, according to severity.Because of that, it is very important to know the epidemiologic and clinic characteristics of patients in our city.


Methods: This was a retrospective descriptive study on patients admitted at the Santa Maria Cardiovascular Clinic of Medellín, between 1994 and 2004.


Results: We found 94 charts with confirmed diagnosis of PE, 51% belonged to inpatients. The main risk factors found, were deep venous thrombosis (DVT), being bedridden, heart failure and patients with prior venous embolismo The main clinical sign and symptoms found were dyspnea, chest pain, cough and a high frequency of syncope. 11% of patients had Massive PE and 24% had Sub- massive PE. The most common electrocardiography abnormalities were: Sinus tachycardia, inverted T wave and S1Q3T3. The lethality was 8.51% and the hospitalization mean time was 9 days.


Conclusions: This series allows to know epidemiologic and clinic characteristics and diagnostics tests for patients from this region with PE as a diagnosis. This is also the opportunity to find our patient's risk factors trough new researches.

Keywords:
Pulmonary embolism, venous thrombosis, Heart Failure, Congestive, Risk factors

Article Details

Author Biographies

Inés Pachón Grajales, Pontifical Bolivarian University

Internal Medicine Residents. Faculty of Medicine, UPB.

Carlos Andrés Agudelo Restrepo, Pontifical Bolivarian University

Internal Medicine Residents. Faculty of Medicine, UPB.

Juan David Uribe Molano, Pontifical Bolivarian University

Internal Medicine Residents. Faculty of Medicine, UPB.

Margarita María Agudelo Zuluaga, Pontifical Bolivarian University

Internal Medicine Residents. Faculty of Medicine, UPB.

Iván Darío Agudelo Zuluaga, Pontifical Bolivarian University

Students. Faculty of Medicine, UPB.

Manuel Alejandro Carvajal López, Pontifical Bolivarian University

Students. Faculty of Medicine, UPB.

Fernando Coutin Moreno, Pontifical Bolivarian University

Students. Faculty of Medicine, UPB.

Diana Alejandra Mendoza Quintero, Pontifical Bolivarian University

Students. Faculty of Medicine, UPB.

Jorge Enrique Ortega, Santa María Cardiovascular Clinic

Pulmonologist, Santa María Cardiovascular Clinic.

References

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