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.
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% patients followed by others. Past history of DVT/PE was the most common risk factor seen in 31.25% Among co morbid conditions hypertension was the common, seen in 28.13% of patients. ECG abnormality was detected in 68.5 % patients. Chest x-ray was abnormal in 18.75% About 37.5% of patients had venous Doppler findings suggestive of deep vein thrombosis. Echocardiography was abnormal in 75% of patients. In CTPA commonest abnormality detected was segmental thrombus seen in 81.25% followed by sub-segmental thrombus 50% 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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