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Being Immobilized Involves A High Risk of Pulmonary Embolism
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Abstract
Introduction:
The clinical symptoms of pulmonary embolism are diverse and in some patients, pulmonary
embolism can be easily overlooked and cause serious clinical consequences.
Case Report:
This report describes a case of acute pulmonary embolism whose first symptom was
presyncope. A 23-year-old male patient presented with presyncope and dyspnea. Acute
coronary syndrome and neurological disorders such as stroke and seizures were excluded by
clinical history and dynamic changes in the electrocardiogram. After the diagnosis was
completed with computed tomography pulmonary angiogram, the severity of acute pulmonary
embolism was evaluated and then the fibrinolytic drug was given to the patient.
Conclusion:
This case is of guiding importance for the early diagnosis and treatment of these patients who
had pulmonary embolism after long-term immobilization, which poses a potential risk for
venous thromboembolism. Cardiopulmonary diseases should be highly suspected in patients
with problems with basic vital signs. After evaluating the possibility of pulmonary embolism
and performing a D-dimer scan, a computed tomography pulmonary angiogram should be
performed as soon as possible.Additionally, the critical degree of pulmonary embolism should
be assessed and appropriate reperfusion and anticoagulation therapy should be administered.
Selcuk University
Title: Being Immobilized Involves A High Risk of Pulmonary Embolism
Description:
Abstract
Introduction:
The clinical symptoms of pulmonary embolism are diverse and in some patients, pulmonary
embolism can be easily overlooked and cause serious clinical consequences.
Case Report:
This report describes a case of acute pulmonary embolism whose first symptom was
presyncope.
A 23-year-old male patient presented with presyncope and dyspnea.
Acute
coronary syndrome and neurological disorders such as stroke and seizures were excluded by
clinical history and dynamic changes in the electrocardiogram.
After the diagnosis was
completed with computed tomography pulmonary angiogram, the severity of acute pulmonary
embolism was evaluated and then the fibrinolytic drug was given to the patient.
Conclusion:
This case is of guiding importance for the early diagnosis and treatment of these patients who
had pulmonary embolism after long-term immobilization, which poses a potential risk for
venous thromboembolism.
Cardiopulmonary diseases should be highly suspected in patients
with problems with basic vital signs.
After evaluating the possibility of pulmonary embolism
and performing a D-dimer scan, a computed tomography pulmonary angiogram should be
performed as soon as possible.
Additionally, the critical degree of pulmonary embolism should
be assessed and appropriate reperfusion and anticoagulation therapy should be administered.
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