conclusion there is still excessive unjustified concern of pte in less trained physicians leading to excessive diagnostic work-up. loyalty to the existing guideline for management of suspected pte in educational hospitals and supervision of attending physicians could prevent overuse of ctpa. results during a 6-month period, 82 patients who underwent ctpa were included. the prevalence of pte was...

AIMS To validate a model for quantifying the prognosis of patients with pulmonary embolism (PE). The model was previously derived from 10 534 US patients. METHODS AND RESULTS We validated the model in 367 patients prospectively diagnosed with PE at 117 European emergency departments. We used baseline data for the model's 11 prognostic variables to stratify patients into five risk classes (I-V...

although dental foci can be sources of bacteremia and bacterial endocarditis, hematogenous spread of infection presented with septic pulmonary embolism apparently is rare. the occurrence of septic pulmonary embolism in patients with periodontal disease without suppurative thrombophlebitis of the great vessels of the neck is well documented but to our knowledge, there is no report on septic pulm...

Chronic thrombo-embolic pulmonary hypertension (CTEPH) develops in a subset of patients after acute embolism. In CTEPH, vascular resistance, which is initially elevated due to the obstructions larger arteries, further increased by microvascular remodeling. The afterload right ventricle (RV) leads RV dilation and hypertrophy. This remodeling predisposes arrhythmogenesis failure. Yet, mechanisms ...

background: the use of thrombolytic agents in the treatment of hemodynamically stable patients with acute submassive pulmonary embolism (pte) remains controversial. we, therefore, conducted this study to compare the effect of thrombolytic plus anticoagulation versus anticoagulation alone on early death and adverse outcome following submassive pte. methods: w e conducted a study of patients with...

background: pregnancy causes a small increase in risk of venous thromboembolism (vte), but a large increase in concern upon presentation during cesarean section with symptoms of pulmonary embolism (pe). pulmonary embolism clinical manifestations during spinal anesthesia could be misleading. we have presented 2 interesting cases of pregnant women underwent spinal anesthesia for cesarean section ...

Introduction A new test for determination of circulating fibrin degradation products has recently been marketed in the U.S. Known genericaUy as the D-dimer assay, it is a direct latex agglutination assay employing monoclonal anubody specific for digestion products of crosslinked fibrin. It is offered as an alternative to or replacement for the widely available Thrombo-Wellcotest assay for fibri...

Venous aneurysms arising from the mediastinal systemic veins are rare. There are only 27 reported cases of such aneurysms. Majority arise from the superior vena cava. We are reporting a saccular aneurysm of superior vena cava in a 58-year-old male. The chest radiogram suggested superior mediastinal mass and the computed tomogram was suggestive of aortic arch aneurysm. Aortography and venography...