Pulmonary embolism (PE) and deep vein thrombosis encompass the syndrome of venous thromboembolism (VTE). In the United States, VTE has a reported incidence of 1 in 1,000 persons yearly and account for approximately 250,000 hospitalizations each year.1 As many as 50 to 60% of patients with deep vein thrombosis develop symptomatic or asymptomatic PE.2 The case-fatality ratio for PE has been repor...

O ver the past 25 years, thrombolytic therapy has consistently demonstrated improvement in hemodynamic parameters in patients with pulmonary embolism (PE). 1 Clinically, although it results in reduced mortality in patients with massive PE, 2 thrombolytic therapy is not beneficial in unselected patients with PE. 3 Major societal guidelines support systemic throm-bolysis for massive PE and recomm...

Our consensus-based strategy in the diagnostic management of patients with pulmonary embolism involves a perfusion lung scan, a ventilation lung scan, compression ultrasonography and pulmonary angiography, in sequence. We compared the diagnostic approach in patients with clinically suspected pulmonary embolism before the active implementation of this strategy (retrospective analysis of 618 pati...

Pulmonary embolism and hypertension are important causes of disability and death in cardiovascular patients. Unfortunately, they often do not receive the attention they deserve, in part because symptoms are similar to those of other more frequent cardiovascular conditions such as acute heart failure and acute coronary syndromes. The European Society of Cardiology (ESC) published guidelines in 2...

The management of patients with acute pulmonary embolism is made challenging by its wide spectrum of clinical presentation and outcome, which is mainly related to patient haemodynamic status and right ventricular overload. Mechanical embolic obstruction and neurohumorally mediated pulmonary vasoconstriction are responsible for right ventricular overload. The pathophysiology of acute pulmonary e...

Pulmonary embolism (PE) is a common disorder that is accompanied by significant morbidity and mortality. Although anticoagulation is the standard treatment for PE, thrombolytic therapy, with its ability to produce rapid clot lysis, has long been considered an attractive alternative. Although many studies have been performed over the past three decades, however, the indications for the use of th...

A case of acute pulmonary embolism which developed one week after conservative surgery of the renal cyst is reported. He was 41 years old and had a long habit of cigarette smoking. He underwent wedge resection of the renal mass which was proved to be a multilocular renal cyst pathologically. The acute pulmonary embolism which developed on the seventh postoperative day was confirmed by lung scin...

Patient. A case of peripheral leiomyosarcoma presenting with features of pulmonary thromboembolism is described.Discussion. Persistence of the embolus despite triple-armed thrombolytic therapy and the presence of intravascular tumour invasion suggest the rare entity of pulmonary tumour embolism from a leiomyosarcoma.