Observational Study of Pulmonary Embolism Patients in Shahid Gangalal National Heart Centre
Journal Title: Nepalese Heart Journal - Year 2010, Vol 7, Issue 1
Abstract
Pulmonary thromboembolism (PE) is a relatively common cardiovascular emergency, with a signifcant mortality and morbidity often precipitated by deep venous thrombosis (DVT).It is considered as the third most common cardiovascular disorder after Acute Coronary Syndromes (ACS) and Stroke. This study aims to fnd out the clinical characteristic of Nepali PE patients. We hope that it can be helpful in the early recognition and management of PE patient. Eleven consecutive patients PE who were diagnosed based on CT report were studied. Predisposing factors were same as the other international study. Among eleven patients three were diagnosed as high risk pulmonary embolism, others were intermediate risk. Shortness of breath, chest discomforts are the commonest symptom. Echo revealed Dilated RA and RV were present in all patients. All the patients were treated with Heparin/Low molecular Heparin. Among the three high risk PE patients only one patient was treated with Thrombolytic therapy because of the missed diagnosis. The diagnosis is the most diffcult and tricky part in the management of PE as treatment is the easiest part. Early suspicion is the most important part in the management of PE as symptom and sign are non-specifc.
Authors and Affiliations
Rauniyar B| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Adhikari CM| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Rajbhandari R| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Limbu YR| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Malla R| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Sharma R| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Rajbhandari S| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Sharma D| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Maskey A| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Singh S. K| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Prajapati D| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Joshi D| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, K. C MB| Department of Cardiology, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu
Keywords
Related Articles
- EP ID EP15684
- DOI -
- Views 352
- Downloads 18
Study of coronary artery dominance in Nepalese population by angiographic method
Background and Aims: Coronary artery disease is one of the major causes of death in developed countries. The aim of this study was to determine the pattern of coronary artery dominance in our Nepalese population by coro...
Right Anterolateral Thoracotomy an Alternative to Median Sternotomy for Closure of Atrial Septal Defect: A Cosmetic Approach in Young Females
background andaims: Atrial septal defect operation is a safe and low-risk procedure. Cosmetic results have been an important issue, so right anterolateral thoracotomy approach has been used for repair. We present min...
Current Scenario of Heart Diseases in Nepal: At a glance
Background Cardiovascular disease no more remains as a disease of developed countries. It is affectng developing countries as well. In additon, developing countries have big challenge to deal with these because of lac...
“An 80-year-old female Ebstein’s anomaly patent with a history of psychiatric illness in her male offspringsâ€
An 80-year-old female presented to Kaski Sewa Hospital, Pokhara, Nepal on October 16, 2012 with palpitaton and dyspnea of New York Heart Associaton functonal class III, and the investgatons revealed that the patent had...
Angiographic Studies of Coronary Artery Disease in Dhulikhel Hospital
Background Coronary Artery Diseases (CAD), one of the the leading causes of death, is increasing globally. The number of CAD is also increasing in Nepal. Dhulikhel Hospital is also providing cardiovascular services to...