VARIED PRESENTATIONS OF ACUTE PULMONARY EMBOLISM

Abstract

Acute pulmonary embolism (APE) is a common disease which can be potentiallyfatal unless treated promptly. APE can present with a wide clinical severity,ranging from asymptomatic to RV failure— ultimately leading to death. Thisvariable presentation often hinders the timely diagnosis and management of PE,thereby increasing mortality. Immediate diagnosis and prompt, effective therapysignificantly decreases the mortality rate. Here, we describe three patients whopresented with varying symptoms and were ultimately diagnosed with PE. In allthree cases, the major underlying risk factor was prolonged immobilization (dueto either hospitalization or due to their profession) and all were treatedimmediately following diagnosis. This article emphasizes the importance ofkeeping a high index of clinical suspicion for pulmonary embolism in immobilizedpatients, rapid diagnostic workup and immediate treatment of patients presentingwith PE along with adequate counseling.