Share This Article:

Delayed diagnosis of pulmonary embolism

Abstract Full-Text HTML Download Download as PDF (Size:35KB) PP. 81-83
DOI: 10.4236/ojcd.2012.24018    3,913 Downloads   6,396 Views  

ABSTRACT

Pulmonary embolism is a common and potentially life threatening condition. Delays in pulmonary embolism diagnosis represent an important problem. It is crucial to have early diagnosis of pulmonary embolism if one wishes to reduce its complication. We retrospectively reviewed our patients who visited our emergency department with a final diagnosis of pulmonary embolism. We found that delayed diagnosis of pulmonary embolism usually happened when patients did not present with the classical symptoms and signs leading to other medical diagnosis at first. Clinical signs and symptoms for pulmonary embolism are mostly non-specific; therefore, patients suspected of having pulmonary embolism—because of unexplained chest pain, shortness of breath or tachycardia with or without the risk factors for pulmonary embolism—must undergo diagnostic tests including D-dimer or CT pulmonary angiography if indicated until the diagnosis is ruled out.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Hsieh, C. and Chen, M. (2012) Delayed diagnosis of pulmonary embolism. Open Journal of Clinical Diagnostics, 2, 81-83. doi: 10.4236/ojcd.2012.24018.

References

[1] Stein, P.D., Beemath, A., Matta, F., Weg, J.G., Yusen, R.D., Hales, C.A., et al. (2007) Clinical characteristics of patients with acute pulmonary embolism: Data from PIOPED II. The American Journal of Medicine, 120, 871-879. doi:10.1016/j.amjmed.2007.03.024
[2] Kline, J.A. and Runyon, M.S. (2006) Pulmonary embolism and deep venous thrombosis. In: Marx, J.A., Hockenberger, R.S. and Walls, R.M., Eds., Rosen’s Emergency Medicine Concepts and Clinical Practice, 2, 1368-1382.
[3] Ozsu, S., Oztuna, F., Bulbul, Y., et al. (2011) The role of risk factors in delayed diagnosis of pulmonary embolism. American Journal of Emergency Medicine, 29, 26-32. doi:10.1016/j.ajem.2009.07.005
[4] Biss, T.T., Brand?o, L.R., Kahr, W.H., Chan, A.K. and Williams, S. (2008) Clinical features and outcome of pulmonary embolism in children. British Journal of Haematology, 142, 808-818. doi:10.1111/j.1365-2141.2008.07243.x
[5] Tapson, V.F. (2008) Acute pulmonary embolism. The New England Journal of Medicine, 358, 1037-1052. doi:10.1056/NEJMra072753
[6] Sandler, D.A. and Martin, J.F. (1989) Autopsy proven pulmonary embolism in hospital patients: Are we detecting enough deep vein thrombosis? Journal of the Royal Society of Medicine, 82, 203-205.
[7] Meyer, G., Planquette, B. and Sanchez, O. (2008) Long-term outcome of pulmonary embolism. Current Opinion in Hematology, 15, 499-503. doi:10.1097/MOH.0b013e3283063a51
[8] Garcia, D., Ageno, W. and Libby, E. (2005) Update on the diagnosis and management of pulmonary embolism. British Journal of Haematology, 131, 301-312. doi:10.1111/j.1365-2141.2005.05752.x
[9] Konstantinides, S. (2008) Clinical practice. Acute pulmonary embolism. The New England Journal of Medicine, 359, 2804-2813. doi:10.1056/NEJMcp0804570
[10] Douma, R.A., Mos, I.C., Erkens, P.M., Nizet, T.A., Durian, M.F., Hovens, M.M., et al. (2011) Performance of 4 clinical decision rules in the diagnostic management of acute pulmonary embolism: A prospective cohort study. Annals of Internal Medicine, 154, 709-718.
[11] Wells, P.S., Ginsberg, J.S., Anderson, D.R., Kearon, C., Gent, M., Turpie, A.G., et al. (1998) Use of a clinical model for safe management of patients with suspected pulmonary embolism. Annals of Internal Medicine, 129, 997-1005.
[12] Smith, S.B., Geske, J.B. and Morgenthaler, T.I. (2012) Risk factors associated with delayed diagnosis of acute pulmonary embolism. The Journal of Emergency Medicine, 42, 1-6. doi:10.1016/j.jemermed.2011.06.004

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.