EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

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 ICV - 79.57

Abstract

EVALUATION OF CLINICAL PROFILE AND DIAGNOSTIC METHODS IN ACUTE PULMONARY EMBOLISM, A PROSPECTIVE ONE YEAR STUDY IN A TERTIARY CARE HOSPITAL

Dr. Khwaja M. Mohsin*, Dr. M. V. Kalasuramath, Dr. Ashwini S. Raju and Dr. Arpitha J. S.

ABSTRACT

Acute pulmonary embolism is a common and sometime fatal disease. This study was undertaken to evaluate clinical features and diagnostic methods in a tertiary care hospital. Methods: Assessment of clinical features and diagnostic methods in acute pulmonary embolism over one year period. Results: In our study majority were males, 52 in number and 12 were females. Majority of patients were aged less than 60yrs in both males and females. Dyspnea was the most common symptom seen in 71.88%[46] patients followed by others. Past history of DVT/PE was the most common risk factor seen in 31.25%[20] Among co morbid conditions hypertension was the common, seen in 28.13%[18] of patients. ECG abnormality was detected in 68.5 %[44] patients. Chest x-ray was abnormal in 18.75%[12] About 37.5%[24] of patients had venous Doppler findings suggestive of deep vein thrombosis. Echocardiography was abnormal in 75%[48] of patients. In CTPA commonest abnormality detected was segmental thrombus seen in 81.25%[52] followed by sub-segmental thrombus 50%[32] Sensitivity of ECG over CTPA was 51.56%. The sensitivity of echocardiography over CTPA was 75% making echocardiography an important non invasive diagnostic tool for not only diagnosis and also assessment of severity in Pulmonary embolism. Conclusion: Pulmonary embolism is often under-diagnosed entity. High index of suspicion is the key to early diagnosis and better outcome.

Keywords: Pulmonary embolism, ECHO, CTPA.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia