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pulmonare embolism

Rose Mary Ferreira Lisboa da Silva, Pollyana Ardavicius E Silva, Marcos Correia Lima, Lívia Tanure Sant'Anna, Túlio Corrêa Silva, Pedro Henrique Vilela Moreira, Robert Moreira Gandra, Túlio Ramos Cavalcanti, Plínio Henrique Vaz Mourão
Background: Atrial fibrillation (AF) is a common arrhythmia, with risk of systemic embolism and death. It presents rheumatic etiology in up to 32% of developing countries, whose anticoagulation and evolution data are scarce. Objectives: to determine the predictors of cardiac death considering the clinical profile, thromboembolism and bleeding scores of patients with AF of a single center, with high prevalence of rheumatic heart disease. Methods: 302 patients with AF were studied, mean age 58...
July 2017: Arquivos Brasileiros de Cardiologia
Aluisio Stoll, Leandro Rosin, Mariana Fernandes Dias, Bruna Marquiotti, Giovana Gugelmin, Gabriela Fanezzi Stoll
Background: Roux-en-Y gastric bypass is one of the most common bariatric surgery and leads to considerable weight loss in the first months. Aim: To quantify the main early postoperative complications in patients submitted to the gastric bypass. Method: Observational retrospective cohort. Data of 1051 patients with class II obesity associated with comorbidities or class III obesity submitted to the gastric bypass with 30 days of follow-up starting from the date of the surgery...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Frederico José Neves Mancuso, Vicente Nicoliello Siqueira, Valdir Ambrósio Moisés, Aécio Flavio Teixeira Gois, Angelo Amato Vincenzo de Paola, Antonio Carlos Camargo Carvalho, Orlando Campos
BACKGROUND: Cardiovascular urgencies are frequent reasons for seeking medical care. Prompt and accurate medical diagnosis is critical to reduce the morbidity and mortality of these conditions. OBJECTIVE: To evaluate the use of a pocket-size echocardiography in addition to clinical history and physical exam in a tertiary medical emergency care. METHODS: One hundred adult patients without known cardiac or lung diseases who sought emergency care with cardiac complaints were included...
December 2014: Arquivos Brasileiros de Cardiologia
Frederico José Neves Mancuso, Vicente Nicoliello Siqueira, Valdir Ambrósio Moisés, Aécio Flavio Teixeira Gois, Angelo Amato Vincenzo de Paola, Antonio Carlos Camargo Carvalho, Orlando Campos
Background: Cardiovascular urgencies are frequent reasons for seeking medical care. Prompt and accurate medical diagnosis is critical to reduce the morbidity and mortality of these conditions. Objective: To evaluate the use of a pocket-size echocardiography in addition to clinical history and physical exam in a tertiary medical emergency care. Methods: One hundred adult patients without known cardiac or lung diseases who sought emergency care with cardiac complaints were included. Patients with ischemic changes in the electrocardiography or fever were excluded...
October 28, 2014: Arquivos Brasileiros de Cardiologia
Hanifi Bayaroğullari, Ramazan Davran, Yeliz Cavuş, Tülin Durgun Yetim, Ömer Evirgen
Hydatid disease (HD) is a worldwide parasitic disease. Echinococcosis may involve many organs but affect most commonly liver and lungs. The location of echinococcal cysts inside pulmonary artery is extremely rare. Radiologic findings range from purely cystic lesions to a completely solid appearance. Hydatid cysts (HC) can be solitary or multiple and varies size. Pulmonary artery embolism of HC can be symptomatic or asymptomatic. When symptomatic, we see the chest pain, dyspnea, cough, hemoptysis and sometimes acute cor pulmonale or sudden death secondary to massive giant pulmonary artery embolism of HC...
March 2013: Clinical Imaging
Mario Terra-Filho, Sérgio Saldanha Menna-Barreto
Pulmonary thromboembolism and deep vein thrombosis together constitute a condition designated venous thromboembolism. Despite the advances, the morbidity and the mortality attributed to this condition are still high, because the patients present with more complex diseases, are submitted to a greater number of invasive procedures and survive longer. Although there are various international guidelines available, we decided to write these recommendations for their application in medical practice in Brazil. These recommendations are based on the best evidence in the literature and the opinion of the advisory committee...
March 2010: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Sven Kurbel, Beatrica Kurbel, Danijela Gulam, Borislav Spajić
The main puzzle of the pulmonary circulation is how the alveolar spaces remain dry over a wide range of pulmonary vascular pressures and blood flows. Although normal hydrostatic pressure in pulmonary capillaries is probably always below 10 mmHg, well bellow plasma colloid pressure of 25 mmHg, most textbooks state that some fluid filtration through capillary walls does occur, while the increased lymph drainage prevents alveolar fluid accumulation. The lack of a measurable pressure drop along pulmonary capillaries makes the classic description of Starling forces unsuitable to the low pressure, low resistance pulmonary circulation...
June 2010: Medical Hypotheses
André Volschan, Denilson Albuquerque, Bernardo Rangel Tura, Marcos Knibel, José Péricles Esteves, Luiz Carlos Bodanese, Francisco Silveira, João Pantoja, Paulo Cesar Pereira da Silva e Souza, João Mansur, Evandro Tinoco Mesquita
BACKGROUND: Pulmonary embolism is associated with high mortality in patients with hypotension or circulatory shock. However, the association between some clinical variables and mortality is still unclear in hemodynamically stable patients. OBJECTIVES: To derive an in-hospital mortality risk stratification model in hemodynamically stable patients with pulmonary embolism. METHODS: This is a prospective multicenter cohort study of 582 consecutive patients admitted in emergency units or intensive care units with clinically suspected pulmonary embolism and whose diagnosis was confirmed by one or more of the following tests: pulmonary arteriography, spiral CT angiography, magnetic resonance angiography, Doppler echocardiography, pulmonary scintigraphy, or venous duplex scan...
August 2009: Arquivos Brasileiros de Cardiologia
S Mahjoub, F Ben Brahim, R Ben Hmid, D Zghal, N Kallel, N Sébai, Faouzia Zouari
BACKGROUND: Vulva anatomy--FIGO classification--Vulva tumors anatomopathology--Tretments of vulva cancers. METHODS: Our stady is a retrospective, longitudinal and continuous one. It concerns 11 malignant vulva tumors whith were treated in the département "C" of the centre of maternity of Tunis. The period of stady is fifty four months (2002-2006). AIM: The aim of our study is to analyse the charactéristics of the vulva cancer and to compare our results to littérature...
December 2008: La Tunisie Médicale
Carlos Gilberto Canelo Aybar, José Luís Cuadra Urteaga, F Fujii, Franco Romaní Romaní, Fernando Alonso Atencia Matute, Rogger Oscar Verona Rubio
The tumour pulmonary micro-embolism is a rare condition characterized by the occlusion of pulmonary small arteries, arteriolas, and alveolar capillaries septales, accompanied of trombosis. Occasionally the development of pulmonary hypertension is the first manifestation of an occult neoplasia, in series of autopsies, an incidence from 3 to 26% has been reported in solid tumors, being clinical evident in 8%. Few cases have documented the development of this condition in patients with carcinoma hepatocelular, we report the case of a 16-year-old male who comes to the emergency with signs of cardiac insufficiency and cor pulmonare whose anatomopatological study confirmed a tumour massive microembolic compromise at pulmonary level and hepatocarcinoma...
January 2008: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
F J Castro, C Pérez, F J Narváez, A Gacía, M Biosca, J Vilaseca, J Vives, J M Argiles
The absence of the inferior vena cava is a rare congenital anomaly. Currently its diagnosis is based on non-invasive imaging techniques (computerised axial tomagraphy and nuclear magnetic resonance). In most cases, it constitutes a casual finding upon practising these image tests unrelated to this congenital anomaly. In the symptomatic patients, the complaints associated are secondary to venous insufficiency and/or deep vein thrombosis. Recently the congenital absence of inferior vena cava has been described as a risk factor of deep vein thrombosis in young patients...
June 2003: Anales de Medicina Interna: Organo Oficial de la Sociedad Española de Medicina Interna
Juan Bertos-Polo, Julian Ortega-Carnicer, Carlos Gutiérrez-Tirado, Alfonso Ambros-Checa
Prolonged immobility, especially bed rest for medical or surgical processes, constitutes one of the main risk factors for developing pulmonary thromboembolism. Immobility during extended plane or coach journeys (economy class syndrome) is not a frequent cause of serious pulmonary thromboembolism in healthy travellers. We report a case of serious pulmonary thromboembolism after a prolonged journey by car.
June 2003: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
G Cina, F Pennestrí
Pulmonary embolism shows a high mortality especially for the difficulty in establishing an early correct diagnosis. The pathophysiology and thus the clinical manifestations of pulmonary embolism (PE) are essentially conditioned by three factors: the size of the embolus, the pre-existing cardiorespiratory condition, the release caused by the embolus, of some substances or the activation of reflexes which tend to worsen the purely mechanical consequences of PE. The clinical manifestations resulting from the combination of these factors result in three clinical patterns: acute cor pulmonare, pulmonary infarction, acute dyspnea...
July 1996: Rays
P Petitpretz, J C Guerin, G Nouvet, R Poirier, F Portier, J Vergeret, P Fraysse, J B Vercken
UNLABELLED: Activity of natural streptogramin (NSG) appears well adapted to pathogens responsible for CAP. The goal of this multicenter pilot study was to bring first data about efficacy of NSG in treatment of CAP. PATIENTS METHOD: Ten days of a NSG (1 gr b.i.d. or t.i.d.) regimen was administered to 46 hospitalized adult patients for CAP defined with fever > 38 degrees C, respiratory symptoms and X-ray opacity. Severely ill patients were excluded. A broncho-pulmonar sample (expectoration or trantracheal aspiration or protected distal sample) was performed in all patients...
1994: Revue de Pneumologie Clinique
N Galiè, M Sanguinetti, C Marrozzini, B Magnani
Vasodilator agents have been used to decrease pulmonary arterial pressure in patients with chronic thromboembolic pulmonary hypertension (CTPH). A case is reported of a patient who had a severe hemodynamic deterioration after 10 mg of sublingual nifedipine. A review of cases of CTPH treated with vasodilators is also discussed.
October 1985: Giornale Italiano di Cardiologia
A Saadjian, M Gueunoun, F Philip-Joët, A Magnan, A Ebagosti, L Garbe, A Arnaud, S Levy
Severe pulmonary hypertension presenting as acute cor pulmonare was observed in a HIV positive heroin addict. The usual aetiological investigations were negative. The apparently primary pulmonary hypertension was resistant oxygen and vasodilator therapy and was fatal in 6 months. Anatomopathological examination revealed the presence of talc microemboli in the pulmonary arterioles, severe medial hypertrophy and fibrous subendothelial thickening. The presence of the talc suggests that the pulmonary hypertension in this case was due to obstruction of the pulmonary vascular bed by the obstructive arterial lesions, despite the context of HIV infection...
September 1991: Archives des Maladies du Coeur et des Vaisseaux
S Pavlović, V Petrović, N Kozarević, D Sobić, V Bosnjakovć
A patient with symptoms of coronary artery disease is presented. ECG changes, chest X-ray, echocardiography as well as ventilation-perfusion study excluded coronary artery disease and confirmed cor pulmonare chronicum and pulmonary hypertension. Patophysiological aspects and clinical symptoms are also discussed.
January 1991: Plućne Bolesti: the Journal of Yugoslav Association of Phthisiology and Pneumology
J Bordt, K M Müller
Six autopsy lungs with embolism of the pulmonary arteries but without infarction, were subjected to comparative angiographic and morphologic examination of bronchial arteries. In pulmonary embolism without hemorrhagic infarction the disconnected vascular bed of pulmonary arteries can be demonstrated distally of the obstructive thrombo-embolism and with a noncapillary contrast medium. The vascular bed appears in intrapulmonal, precapillary, bronchopulmonal anastoses. The results of the investigation explain an intravital sufficient subsidiary circulation in the pulmonary areas separated from the normal circulation of pulmonary arteries...
February 1977: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
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