Acute Pulmonary Embolism - Articles

Sort by: Newest Most Comments Relevance

Origin and location of chest pain in acute pulmonary embolism by Dr. Sangareddi V. Medical Doctor

Posted Wed 21 Oct 2009 10:02pm Pulmonary embolism is one of the important causes of acute chest pain . It can mimic acute coronary syndrome . In fact along with aortic dissection , it forms a differential diagnosis for STEMI especailly if the ECG is not typical. The Chest pain of acute pulmonary embolism can originate in one of the following structures with diff ... Read on »

What are the mechanisms of hypoxia in Acute pulmonary embolism ? by Dr. Sangareddi V. Medical Doctor

Posted Thu 31 May 2012 12:11pm Hypoxia is most important feature of acute pulmonary embolism. It occurs due to variety of mechanisms Ventilation perfusion mismatch is the major mechanism ( Normal ventilation /Reduced perfusion) Atelectasis of lung ( Left to right shunt) Loss of lung volume due to pulmonary infarct contribute later Low mixed venous ... Read on »

How will you manage failed pulmonary thrombolysis in acute pulmonary embolism ? by Dr. Sangareddi V. Medical Doctor

Posted Sun 10 Oct 2010 10:26am Acute massive pulmonary embolism is a dreaded medical emergency . In the past, surgical embolectomy was the main option . Now , we have thrombolysis as a viable option.But , it does not work in all cases.* (90% success ?). It is critical to evaluate the success of thrombolyis , before embarking upon rescue embolectomy. As it is often ... Read on »

What are the echocardiographic signs of RV dysfunction in Acute pulmonary embolism ? by Dr. Sangareddi V. Medical Doctor

Posted Sun 10 Oct 2010 10:26am

1 Comment There were days when acute pulmonary embolism(APE) was almost always diagnosed post-mortem. We are in the era , where we can recognise most of the pulmonary embolism without any difficulty. Experience has taught us , when to suspect this dreaded syndrome . Any unexplained, dyspnea, hypoxia, tachycardia , syncope* with vague chest ... Read on »

Management issues in acute pulmonary embolism : Should heparin be started only after thrombolysis ? by Dr. Sangareddi V. Medical Doctor

Posted Fri 08 Oct 2010 9:48am Acute pulmonary embolism is a vascular emergency.Massive pulmonary embolism needs immediate thrombolysis or embolectomy. Success rate of thrombolysis appears good . But , the symptom improvement is slower . Sterptokinase is the commonly used drug to dissolve the pulmonary thrombus . (Except in USA , where they prefer the much costlie ... Read on »

Which is the commonest cause for death in acute pulmonary embolism by Dr. Sangareddi V. Medical Doctor

Posted Wed 31 Oct 2012 12:16pm The commonest cause for death in massive pulmonary embolism is RV shock Massive Hemoptysis Primary VF originating right ventricle Refractory Type 1 Respiratory failure Answer : 1 .(RV shock , RV standstill and RV , RV stunning is the unequivocal cause for sudden death in pulmonary embolism . This RV shock oc ... Read on »

Changing definitions for massive pulmonary embolism by Dr. Sangareddi V. Medical Doctor

Posted Wed 31 Oct 2012 12:10pm Conventionally pulmonary embolism is classified as massive, sub massive based on Degree level of obstruction in pulmonary anatomy (MPA,Branch PA, Segmental etc ) Thrombus burden Quantum of pulmonary vascular bed compromised But it is always intriguing , the clinical outcome was not linearly correlating with the a ... Read on »

Malpractice defense: Lung Infection vs. Chronic Pulmonary Embolism by David W. Patient Expert

Posted Wed 17 Mar 2010 2:10pm In addition to my consulting work and writing the Health Business Blog , I’m chairman of the board of Advanced Practice Strategies , a medical risk management firm that provides litigation support for malpractice defense and an eLearning curriculum focused on enhancing patient safety. Here’s the Advanced Practice Strategies case of the mo ... Read on »

Importance of recognising type C RVH in clinical cardiology ! by Dr. Sangareddi V. Medical Doctor

Posted Sun 05 Feb 2012 3:21am RVH is traditionally categorized into three types . With the advent of echocardiography diagnosing RVH by ECG would appear redundant. Still , it gives vital information about the electro-physiologcal basis of RVH. Knowing different mechanisms of RVH helps us decode regional variations in RVH. Type A , Type B are easy to diagnose ... Read on »

Is it pulmonary embolism? by Stephen Smith Posted Sat 02 Apr 2011 1:31pm This is a 41 year old male with severe asthma who barely avoided intubation. His troponin returned at 0.13, and here is his ECG There is sinus tach with anterior T-wave inversion of the same morphology as the previous cases of PE which I have posted (see link below). There is no TW inversion in lead III, so this is not pathognomoni ... Read on »