Highlights the importance of maintaining a high clinical suspicion for acute pulmonary embolism in young patients presenting with acute dyspnea, even in males without typical risk factors.
Supports high suspicion for PE in young males with acute dyspnea; single case leaves open need for validation.
Pulmonary embolism (PE) is a potential cardiovascular emergency caused by part of a thrombus, usually dislodged from a deep vein thrombosis (subsequently called an embolus), passing into the pulmonary circulation and preventing blood flow to the lungs. The condition is frequently termed pulmonary thrombo-embolism. PE is one of the most common reason for preventable hospital death. A young adult presenting with acute onset of dyspnea, pulmonary embolism should be kept a possibility, as most of the time PE is not considered in differential diagnosis while evaluating such patients in emergency. Most of young patients reported in literature are young females, either pregnant or on oral contraceptives. Its need high clinical suspicion for diagnosis of acute pulmonary embolism. There is one case reports of young male, who presented as acute onset of breathlessness and subsequently diagnosed and treated as a case of pulmonary thromboembolism.
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Hosna et al. (2017) studied this question.
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