Key result
Pulmonary embolism frequently complicates acute COPD and CHF exacerbations, substantially worsening patient prognosis.
Why the study?
The prevalence of pulmonary embolism in patients with chronic cardiopulmonary pathologies is unknown, especially in chronic heart failure, presenting challenges for systematic versus targeted diagnostic strategies.
What is the prevalence and impact of pulmonary embolism in patients with acute exacerbations of chronic cardiopulmonary disease?
What is the prevalence and impact of pulmonary embolism in patients with acute exacerbations of chronic cardiopulmonary disease?
This review emphasizes the need to consider pulmonary embolism as a differential or concomitant diagnosis in patients presenting with acute exacerbations of COPD or heart failure, given its significant impact on mortality.
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Supports considering pulmonary embolism in COPD and heart failure exacerbations; leaves open the need for prospective diagnostic studies.
Patients with chronic cardiopulmonary pathologies have an increased risk of developing venous thromboembolic events. The worsening of dyspnoea is a frequent occurrence and often leads patients to consult the emergency department. Pulmonary embolism can then be an exacerbation factor, a differential diagnosis or even a secondary diagnosis. The prevalence of pulmonary embolism in these patients is unknown, especially in cases of chronic heart failure. The challenge lies in needing to carry out a systematic or targeted diagnostic strategy for pulmonary embolism. The occurrence of a pulmonary embolism in patients with chronic cardiopulmonary disease clearly worsens their prognosis. In this narrative review, we study pulmonary embolism and chronic obstructive pulmonary disease, after which we turn to pulmonary embolism and chronic heart failure.
Douillet et al. (2023) conducted a review in Chronic cardiopulmonary disease (COPD and chronic heart failure). Pulmonary embolism was evaluated. Pulmonary embolism is a significant but often overlooked complication in patients with acute exacerbations of chronic obstructive pulmonary disease and chronic heart failure, worsening their prognosis.
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