期刊论文详细信息
BMC Cardiovascular Disorders
Be aware of non-specific presentation of pulmonary embolism: a case report
Case Report
Dongyi Yang1  Tao Wu1  Qinghai Dai2  Hang Li2  Lingfeng Shu2 
[1] Department of Intervention, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, 450000, Zhengzhou, Henan, China;The First Clinical Medical College, Henan University of Traditional Chinese Medicine, 450000, Zhengzhou, Henan, China;
关键词: syncope;    Non-specific;    Submassive;    Pulmonary embolism;    Case report;   
DOI  :  10.1186/s12872-023-03096-z
 received in 2022-08-13, accepted in 2023-01-25,  发布年份 2023
来源: Springer
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【 摘 要 】

BackgroundThe early diagnosis of non-specific presentation of pulmonary embolism (PE) is difficult because the symptoms are non-specific and varied.Case presentationA 69-year-old female patient had syncope accompanied by gait disturbance, without obvious inducement. The patient was initially suspected to have cerebral infarction, but the symptoms did not improve and myocardial markers increased after two days of symptomatic treatment for myocardial infarction. Hence, PE was suspected and computed tomography pulmonary angiography (CTPA) examination confirmed the diagnosis. CTPA showed multiple emboli in pulmonary artery and its branches, so high-risk PE was diagnosed. Intravenous thrombolysis was administered, and pulmonary CTA showed a significant reduction of emboli in pulmonary artery and its left and right branches.ConclusionThis case report highlights the importance of improving the clinical awareness about non-specific presentation of PE and avoiding misdiagnosis or missed diagnosis.

【 授权许可】

CC BY   
© The Author(s) 2023

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