Key result
In an Egyptian cohort of 100 patients with suspected acute pulmonary embolism, 82% had low risk stratification, 94% received enoxaparin, and in-hospital mortality was 4%.
Why the study?
The study aimed to assess the clinical presentation, risk stratification, and management of Egyptian patients with a suspected diagnosis of acute pulmonary embolism.
Cohort (n=100)
In this Egyptian cohort, acute pulmonary embolism predominantly affected females over 50, mostly presenting with low risk and managed effectively with anticoagulants, with low in-hospital mortality.
Silent PE in DVT may warrant screening consideration; leaves open optimal risk stratification pending prospective trials.
Background: Pulmonary embolism (PE) is a relatively commoncardiovascular emergency. Acute PE is the most serious clinicalpresentation of venous thromboembolism. PE is the consequence of deep < br />vein thrombosis (DVT). The aim was to assess clinical presentation, riskstratification and management of different Egyptian's patients with suspecteddiagnosis of acute pulmonary embolism.Results: Our study is reported that 33.5% of the DVT patients had silentPE, Patient's risk Stratification showed that 5(5%) had high riskStratification, 11(11%) had intermediate risk Stratification and 82(82%)had low risk Stratification, Patient's treatment showed that 94(94%) had totake enoxaparine, 3(3%) had to take UF Heprin and warfarin and 3(3%)had to take enoxaparine, warfarine and streptokinase, and Patient's outcomeshowed that in hospital 4(4%) were death and 7(7%) had bleeding(4(57.1%) hematuria, 2(28.6%) ecchymosis and 1(14.3%) intrauterine).Conclusion: Females are more susceptible to pulmonary embolism thanmales. Most of patients are above age of 50 y. Most of patients haveintermediate Wells score. Most of patients have tricuspid regurge andpulmonary hypertension with normal left and right ventricular function.Most of patients have low risk stratification. Anticoagulants are the maintreatment like heparin and warfarin.
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Elzawawy et al. (2020) conducted a cohort in Acute pulmonary embolism (n=100). Management strategy was evaluated on In-hospital mortality and bleeding. In an Egyptian cohort of 100 patients with suspected acute pulmonary embolism, 82% had low risk stratification, 94% received enoxaparin, and in-hospital mortality was 4%.
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