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ISSN 1729-6935 (Electronic)
16 de abril

2020, Number 277

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16 de abril 2020; 59 (277)

Clinical, imaging and pathological findings in deceased patients with presumptive diagnosis of pulmonary thromboembolism

Ramírez NCM, Romero GLI

Language: Spanish
References: 20
Page: 1-6
PDF size: 290.13 Kb.


ABSTRACT

Introduction: pulmonary thromboembolism is frequent, potentially lethal and can have diagnostic difficulties. Objective: to characterize clinically, imaging and pathopathologically the deceased pa-tients with a presumptive diagnosis of pulmonary thromboembolism. Material and method: a descriptive cross-sectional study of the deceased with a pre-sumptive diagnosis of pulmonary thromboembolism was carried out from October 2018 to October 2019, at the Saturnino Lora Hospital. The sample was made up of 120 de-ceased. Variables such as age, sex, predisposing factors, main clinical, radiographic and echocardiographic symptom or sign suggestive of thromboembolism as well as the confirmed or non-confirmed pathological diagnosis of thromboembolism were de-scribed. Results: patients older than 60 years and female sex predominated. Tachycardia (25.0%) and dyspnea (33.3%) were the most frequent symptoms and signs in confirmed cases. According to pathological diagnosis, pulmonary infarction predominated in 79.2% and D-Dimer was positive in all cases. Opaque radiological areas (78.9%), sinus tachycardia (37.5%) and dilatation and/or hypokinesia of the right ventricle (45.5%) prevailed. Conclusion: The presumptive diagnosis of thromboembolism and the pathological-logical diagnosis were not coincident in a considerable number of deaths.


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