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Intrafissural fat mimicking pulmonary embolism!

Intrafissural fat mimicking pulmonary embolism! Acta Cardiol. 2017 Aug 11;:1 Authors: Talebi S, Moradi A, Reyes HA, Pekler G, Hassen GW PMID: 28799455 [PubMed - as supplied by publisher]
Source: Acta Cardiologica - Category: Cardiology Tags: Acta Cardiol Source Type: research

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Pulmonary embolism (PE) is an important cause of perioperative morbidity and mortality. In patients with suspected PE, electrocardiogram (ECG) alone is thought to have a limited utility due to its low sensitivity and specificity. This case report describes a patient with intraoperative PE presenting with hypotension and hypoxemia for whom the ECG finding of SIQIIITIII was key in identifying acute cor pulmonale. The ECG was paramount in our decision to acquire computed tomography angiography to confirm the diagnosis, reinforcing its invaluable role in early detection of intraoperative PE.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports: Case Report Source Type: research
Conclusion: If the patient is able to retry anticoagulation therapy and the filter is no longer needed, the filter should be removed, even if a long time has elapsed since implantation. If the filter cannot be removed, it is recommended that follow-up computed tomography be performed regularly to monitor the progress of venous thromboembolisms as well as any filter-related complications. PMID: 29234611 [PubMed]
Source: Korean Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research
ConclusionsIn patients with acute PE, detectable cTnI is predictive of long‐term mortality, particularly among patients who were identified as low risk according to PESI score.
Source: Clinical Cardiology - Category: Cardiology Authors: Tags: CLINICAL INVESTIGATIONS Source Type: research
The objective of this study was to evaluate the efficacy of respiratory synchronized compression devices (RSCDs) versus nonsynchronized intermittent pneumatic compression devices (NSIPCDs) in preventing venous thromboembolism (VTE) after total joint arthroplasty. A systematic literature review was conducted. Data regarding surgical procedure, deep vein thrombosis, pulmonary embolism, mortality, and adverse events were abstracted. Compared with control groups, the risk ratio of deep vein thrombosis development was 0.51 with NSIPCDs and 0.47 with RSCDs. This review demonstrates that RSCDs may be marginally more effective at ...
Source: Orthopedic Clinics of North America - Category: Orthopaedics Authors: Source Type: research
Publication date: Available online 13 December 2017 Source:Journal of Indian College of Cardiology Author(s): Praneeth Polamuri, Anuj Kapadiya, Praveen Nagula, Uday Kiran Anne, Vijaya Lakshmi Nuthakki, Kiranmayi K. Anjani Cushing’s syndrome (CS) constitutes a constellation of clinical features that result from chronic exposure to excess glucocorticoids of any etiology. Endogenous excess of glucocorticoids secondary to pituitary or adrenal tumors is rare, while the exogenous use of glucocorticoids leading to the CS is common. The latter is termed as Iatrogenic Cushing’s Syndrome (ICS). The patients with ICS usu...
Source: Journal of Indian College of Cardiology - Category: Cardiology Source Type: research
Conclusion Home discharge of ED patients with acute pulmonary embolism was uncommon and varied significantly between facilities. Patients selected for outpatient management had a low incidence of adverse outcomes.
Source: Annals of Emergency Medicine - Category: Emergency Medicine Source Type: research
The prognosis of multidetector computed tomography (MDCT) assessed right ventricular dilatation (RVD) is unclear in patients with pulmonary embolism (PE) and a simplified Pulmonary Embolism Severity Index (sPESI) of 0. We investigated in these patients whether MDCT-assessed RVD, defined by a right to left ventricular ratio (RV/LV) ≥0.9 or ≥1.0, is associated with worse outcomes. We combined data from three prospective cohorts of patients with PE. The main study outcome was the composite of 30-day all-cause mortality, haemodynamic collapse or recurrent PE in patients with sPESI of 0. Among 779 patients with a sPE...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Pulmonary vascular disease Original Articles: Pulmonary vascular diseases Source Type: research
Patients with pulmonary embolism (PE) represent a prognostically heterogeneous patient population. Therefore, the current European Society of Cardiology (ESC) guidelines recommend risk stratification to guide risk-adjusted management [1]. Since no individual clinical, imaging or laboratory finding has been shown to predict risk of an adverse in-hospital outcome with adequate sensitivity and specificity to justify treatment decisions numerous studies have investigated combination models for an optimised risk classification [2, 3]. Despite considerable progress made in the identification of intermediate-high-risk patients wh...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Pulmonary vascular disease Editorials Source Type: research
Objectives: To evaluate the association between very small left atria (VSLA) on nongated computed tomography pulmonary angiography (CTPA) and mortality in patients without pulmonary embolism (PE).Methods: Patients who underwent nongated CTPA between 2011 and 2015 in order to rule out PE, and had an echocardiogram within 24 h of the CTPA, were retrospectively identified. The left atrial volume of nongated CTPA was calculated using automatic 4-chamber volumetric analysis software. The association between the lowest 5th percentile of the left atrial volume index, referred to as the VSLA group, and mortality was investigated a...
Source: Cardiology - Category: Cardiology Source Type: research
Oral edoxaban found noninferior for recurrent venous thromboembolism or major bleeding
Source: Pulmonary Medicine News - Doctors Lounge - Category: Respiratory Medicine Tags: Internal Medicine, Oncology, Pharmacy, Pulmonology, Conference News, Source Type: news
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