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1. CLINICAL PROFILE OF
PULMONARY
THROMBOEMBOLISM IN
TERTIARY CARE CENTRE
Guide – DR.V.N.DHADKE
Professor and HOU
Department of Medicine
Dr.VMGMC & SCSMSR Solapur
Student-Dr. ASHWIN SANJAY PUND
Junior Resident in General medicine
Dr.VMGMC & SCSMSR Solapur

2. Introduction
• Pulmonary thrombo embolism is a life threatening condition seen in bedridden as well as
ambulatory patients. It Most commonly occurs as a complication of any major
surgery. Screening of suspected Pulmonary Thromboembolism with CXR, ECG, 2DECHO
& CT pulmonary angiography, D-dimer levels And Early use of heparin to prevent the
Development of Pulmonary Thrombo Embolism
• Tools for diagnosis of Pulmonary Thrombo Embolism are as follows-
• ECG s/o :Right ventricular strain pattern in TE of small vessels and S1 Q3T3 pattern in TE
of main pulmonary arterial trunk
• 2DECHO s/o:Enlargement of RV & RA cavities and septal bulging inside LV cavity
• D – dimer:As D-dimer is a fibrin degradation product, values of D-dimers raised in PTE
• CT (PA):Visualisation of actual thrombus
• CXR:in late stages, due to occlusion of Blood supply, Wedge opacification can be seen.

3. AIMS AND OBJECTIVES
• Screening of high risk patients of pulmonary thrombo embolism with
the help of ECG , 2D echo , CT(PA) , d-dimer and Chest X ray And
division of patients based on scoring system into different categories
• Study the role of Anticoagulants and Thrombolysis in pulmonary
thrombo embolism
• Study of outcome In thrombolysed patients of pulmonary thrombo
embolism

4. Methodology
• IPD patients of ward and ICU are taken for the study
• Duration-3 years
• Sample size- 30
• Type of study- Prospective study
• Inclusion criteria- Patients of age more than 14 years
• Exclusion Criteria- Patients with contraindication to Thrombolysis

5. References
• 1)Konstantinides S V., Torbicki A, Agnelli G, Danchin N, Fitzmaurice D, Galiè N, et al. 2014 ESC
Guidelines on the diagnosis and management of acute pulmonary em bolism.
• 2)Stein PD, Athanasoulis C, Alavi A, Greenspan RH, Hales CA, Saltzman HA, et al. Complications
and validity of pulmonary angiography in acute pulmonary embolism.
• 3) Sadigh G, Kelly A, Cronin P. Challenges, controversies, and hot topics in pulmonary embolism
imaging.
• 4) Masotti L, Ray P, Righini M, Le GG, Antonelli F, Landini G, et al. Pulmonary embolism in the
elderly: a review on clinical, instrumental and laboratory presentation.
• 5) Konstantinides SV. 2014 ESC Guidelines on the diagnosis and management of acute pulmonary
embolism.
• 6) Skinner S. Pulmonary embolism: assessment and imaging.
• 7) Boka K. Pulmonary embolism clinical scoring systems
• 8) Thompson TB. Clinical presentation, evaluation, and diagnosis of the adult with suspected acute
pulmonary embolism.
• 9) Dogan H, DE RA, Geleijins J, Huisman MV, Kroft LJ. The role of computed tomography in the
diagnosis of acute and chronic pulmonary embolism.