Abstract
Background
Pulmonary embolism is a condition of dangerous obstruction of the pulmonary arteries, primarily by thromboembolism from deep vein thrombosis. Correct early diagnosis and proper management are necessary to prohibit morbidity and mortality.
Objectives:
The present study contrast diagnostic methods, clinical presentations, and outcomes of pulmonary embolism patients, highlighting imaging and anticoagulation as keys to management.
Methods:
A prospective cohort study was performed on 200 patients suspected of having PE. The diagnosis was established by computed tomography pulmonary angiography, ventilation-perfusion scan, and D-dimer testing. The treatment modality, such as anticoagulation, thrombolysis, and supportive care, was evaluated.
Results:
CTPA diagnosed PE in 140 patients (70%). In confirmed cases, elevated D-dimer had significant correlation. Anticoagulation was the initial mode of management; thrombolysis was reserved for high-risk patients. Survival was better with early diagnosis and prompt initiation of therapy.
Conclusions:
Pulmonary embolism continues to be a challenge in diagnosis and treatment. Imaging and biomarker-guided strategies improve early detection, and anticoagulation continues to be the mainstay of therapy. Early intervention is better and decreases the risk of recurrence.
Keywords: Pulmonary, anticoagulation, Angiography