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Pulmonary embolism, seasonal variations in admission to hospital, and the association of calf deep vein thrombosiswith pulmonary embolism

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Abstract

ABSTRACT
Objective: To look for the presence or absence of seasonal variation of pulmonary embolism (PE). To analyze the effect of age, sex and the presence or absence of deep vein thrombosis(DVT) and its risk factors on the occurrence of PE. To analyze the ECG changes and the presence or absence of sinus tachycardia in patients with acute PE.
Method: One hundred three patients with PE were studied retrospectively, during the years 2002-2007 at the intensive and respiratory care unit and general medical units in Ibn-Sena Teaching Hospital.
Results: One hundred three patients with PE were studied. The age of the patients correlates significantly with the presence of PE being highest between 21-50 year of age, with p-value of <0.001. There were no seasonal variations in the distribution of PE with P-value of 0.06. Females significantly outnumbered male patients with P-value of 0.002. There was no statistically significant association between the clinically evident DVT or its absence and the diagnosis of PE with p-value 0.278. The association between the presence of PE and positive doppler ultrasound for DVT were significant with p-value of 0.023. There was a significant association between the presence of PE and sinus tachycardia with p-value of <0.001, and negative correlation with the classical ECG changes.
Conclusion: There was no seasonal variation in the distribution of PE. There was significant association between the presence of PE and positive doppler ultrasound for DVT. Sinus tachycardias were commonly present with acute PE. We need to have more sophisticated facilities for proper diagnosis of PE.
Keywords: Pulmonary embolism, seasonal variations, deep vein thrombosis.

الأهداف: للبحث عن وجود أَو غياب التغير الموسمي في حدوث الجلطة الرئوية. كذلك لتَحليل تأثير العُمر، الجنس ووجود أَو غياب تخثّر الأوردة العميقة في الساق على حدوث الجلطة الرئوية، ولتَحليل التغييرات في تخطيط القلب ووجود أَو غياب جيب تسارع ضربات القلب في المرضى المصابين بالجلطة الرئوية الحادّة.الطريقة: مائة وثلاثة مرضى مصابين بالجلطة الرئوية الحادّة اللذين ادخلوا العناية المركزة والعناية التنفسية في مستشفى ابن سينا التعليمي بالموصل، دُرسوا بشكل رجعي، أثناء السنوات 2002-2007.النتائـج: لم يكن هناك تأثير موسمي في حدوث الجلطة الرئوية، عُمر المرضى يؤثر بشكل ملحوظ على الاصابة بالجلطة الرئوية. فاقتْ الاصابة عند الإناث عدداً على الذكور بشكل ملحوظ، يُمكن أَن يكون بسبب إحالة المرضى من مستشفيات النسائية والتوليد. كان هناك علاقة سلبية بين خثرة الأوردة العميقة للساق الواضحة سريرياً أَو من عدمه وتشخيص الاصابة بالجلطة الرئوية. الإرتباط بين الاصابة بالجلطة الرئوية وأشعة الدوبلر حول وجود خثرة الأوردة العميقة للساق ايجابي. كان هناك علاقة إيجابية بين الاصابة بالجلطة الرئوية وتسارع ضربات القلب.


Article
The Role of the Use of Low Molecular

Author: Auday H. Jasim عدي جاسم
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2011 Volume: 7 Issue: 2 Pages: 123-130
Publisher: Baghdad University جامعة بغداد

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Abstract

Background A prospective clinical study was performed to compare the efficacy of the use of low-molecular-weight heparin group (enoxparin group) with control group in the prevention of deep-vein thrombosis after total knee arthroplasty. Aim of the study: to assess the prevalence of DVT after total knee arthroplasty and evaluate the importance of the use of low molecular weight heparin in the prevention of this DVT. Methods Thirty-three patients undergoing total knee arthroplasty were randomly divided into two groups. One group consisted of 12 patients who received no prophylaxis with an anticoagulant (the control group), other group consisted of 21 patients who received the low-molecular-weight heparin enoxparin (enoxparin group) 4000 I.U. S.C 6 hours after surgery for two weeks after the operation then aspirin 100 mg until 6th week after operation. Bilateral duplex ultrasonography was performed preoperatively and at (5-7) days postoperatively. Results The prevalence of deep-vein thrombosis was 58% in the control group, 38% in the enoxparin group. Conclusions Enoxaparin significantly lowered the prevalence of deep-vein thrombosis after total knee arthroplasty.


Article
Survey of Pulmonary Embolism Characteristics, A Hospital Based Study

Author: Salman Hachim Al-Nuami *, Basil Fawzi Jameel **, Asaad Abdullah Abbas
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 1 Pages: 58-64
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Pulmonary embolism is a common complication of hospitalization and contributes to 5 to 10 percent of deaths in hospitalized patients, making it one of the leading causes of preventable hospital deaths.OBJECTIVE:Is to evaluate patients with pulmonary embolism admitted to Ibn Alnafees Hospital, Baghdad, Iraq.PATIENTS AND METHOD: Cross-sectional study in one year( 2016) , We treated 52 cases of Pulmonary embolism in Ibn Alnafees Hospital in the CCU and we collected their data on admission to the hospital on different age group, gender, sign and symptoms, investigation, predisposing factors, treatments with thrombolytic therapy and the outcome of the patient. Seven patients died after admission, two of them same of day of admission.RESULT: In this study, the surgery was the most common risk factor for pulmonary embolism followed by deep Venus thrombosis. However, there was no obvious risk factor present in 11.5% of cases, and 28.7% of cases had have more than one risk factor. CONCLUSION: The surgery was the most common risk factor for pulmonary embolism followed by deep vein thrombosis. The CT pulmonary angiography is positive in vast majority of cases, so it's useful and effective diagnostic tool for pulmonary embolism.

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