<abstract xmlns="http://www.w3.org/1999/xhtml"> Pulmonary thrombembolism can be a complication or it can lead to the onset of heart failure. The early diagnosis of pulmonary thromboembolism may make the difference between life and death. The aim of the study was to determine pulmonary thromboembolism incidence in patients with cardiac failure and to attempt diagnosis optimization. Study group included 150 patients admitted at Medical Clinic II, Emergency Clinical County Hospital Constanta with preexistent known or unknown heart disease, which led to cardiac failure. Patients were suspected with incipient pulmonary thromboembolism. Dyspnea was the most frequently manifested symptom leading to pulmonary thromboembolism suspicion (99%). Pulmonary thromboembolism suggestive dyspnea displayed two forms: sudden onset of dyspnea and increased dyspnea in patients suffering from dyspnea at rest. Thoracic pain was present in approximately 90% of the patients and was manifested in two forms: retrosternal pain, not increasing with respiratory movement, and acute localized thoracic pain, accompanied by hemoptysis and dyspnea; these symptoms suggest pulmonary infarction. Pulmonary thromboembolism complicates clinically manifested heart failure or precipitates heart failure onset in patients with latent myocardial dysfunction. </abstract>

Pulmonary thrombembolism can be a complication or it can lead to the onset of heart failure. The early diagnosis of pulmonary thromboembolism may make the difference between life and death. The aim of the study was to determine pulmonary thromboembolism incidence in patients with cardiac failure and to attempt diagnosis optimization. Study group included 150 patients admitted at Medical Clinic II, Emergency Clinical County Hospital Constanta with preexistent known or unknown heart disease, which led to cardiac failure. Patients were suspected with incipient pulmonary thromboembolism. Dyspnea was the most frequently manifested symptom leading to pulmonary thromboembolism suspicion (99%). Pulmonary thromboembolism suggestive dyspnea displayed two forms: sudden onset of dyspnea and increased dyspnea in patients suffering from dyspnea at rest. Thoracic pain was present in approximately 90% of the patients and was manifested in two forms: retrosternal pain, not increasing with respiratory movement, and acute localized thoracic pain, accompanied by hemoptysis and dyspnea; these symptoms suggest pulmonary infarction. Pulmonary thromboembolism complicates clinically manifested heart failure or precipitates heart failure onset in patients with latent myocardial dysfunction.

Suggestive symptoms and signs of pulmonary thromboembolism in cardiac failure

Faculty of Medicine, University “Ovidius” of Constanta University Street, No. 1, Campus B Constanta, Romania, phone: +40 751268420

Faculty of Medicine, University “Ovidius” of Constanta

Faculty of Dental Medicine, University “Ovidius” of Constanta

ARS Medica Tomitana

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Suggestive symptoms and signs of pulmonary thromboembolism in cardiac failure"}

Pulmonary thrombembolism can be a complication or it can lead to the onset of heart failure. The early diagnosis of pulmonary thromboembolism may make the...

Suggestive symptoms and signs of pulmonary thromboembolism in cardiac failure

Publié en ligne: 19 août 2016

Pages: 97 - 102

DOI: https://doi.org/10.1515/arsm-2016-0017

Mots clés
symptoms and signs, pulmonary tromboembolism, cardiac failure

© by Zizi Niculescu

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Suggestive symptoms and signs of pulmonary thromboembolism in cardiac failure

Publié en ligne: 19 août 2016

Pages: 97 - 102

DOI: https://doi.org/10.1515/arsm-2016-0017

Mots cléssymptoms and signs, pulmonary tromboembolism, cardiac failure

© by Zizi Niculescu

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Mots clés
symptoms and signs, pulmonary tromboembolism, cardiac failure