Öz
Pulmonary embolism (PE) is one of the pulmonary emergent disease which hardly diagnosed, high mortality rates, and frequently seen in emergency department. PE cases are seen many different clinical symptoms. Most common symptoms are sudden started dyspnea, pleuritic chest pain, coughing, hemoptysis, tachypnea, and tachycardia. Syncope is rarely first referring symptom of the PE cases, however, in massif PE cases syncope is more frequently seem and unless urgent diagnosis and treatment, mortality rates is quite high. Therefore, in differential diagnosis of the syncope patients PE must keep in mind. In this study, five massive PE cases were presented who admitted to emergency service with syncope and vertigo symptoms.
Anahtar Kelimeler
Kaynakça
- Morgenthaler TI, Ryu JH. Clinical characteristics of fatal pulmonary embolism in a referral hospital. Mayo Clin Proc 1995; 70: 417-24.
- Bell WR, Simon TL, de Mets DL. The clinical features of submassive and massive pulmonary emboli. Am J Med 1997; 62: 355-63.
- Thames MD, Alpert JS, Dalen JE. Syncope in patients with pulmonary embolism. JAMA 1977; 238: 2509-11.
- Stein PD, Henry JW. Clinical characteristics of patients with acute pulmonary embolism stratified according to their presenting syndromes. Chest 1997; 112: 974Wolfe TR, Allen TL. Syncope as an emergency department presentation of pulmonary embolism. J Emerg Med 1998; 16: 27-31.
- Soga T, Sato Y, Matsumoto N. Right atrial free-floating thrombus in a patient with massive pulmonary embolism: A case of 'emboli in transit. Int J Cardiol 2008; 129: 66-8.
- Meyer MA. Seizure as the presenting sign for massive pulmonary embolism: Case report and review of the literature. Seizure 2009; 18: 76-8.
- Price DT, Ridker PM. Factor V leiden mutation and the risks for thromboembolic disease; a clinical prospective study. AnnInternMed 1997; 127: 895-903. Jiang AG, Lu HY. Agnogenic massive pulmonary embolism with syncope as initial symptom: A case report and review of the literatüre. Exp Ther Med 2013; 5: 1516-8.
- Koutkia P, Wachtel TJ. Pulmonary embolism presenting as syncope: Case report and review of the literature. Heart Lung 1999; 28: 342-7.
- Calvo- Romero JM, Perez- Miranda M, Bureo- Dacal P. Syncope in acute pulmonary embolism. Eur J Emerg Med 2004; 11: 208-9.
- Demircan A, Aygencel G, and Bildik F. Pulmonary embolism presenting as syncope: A case report. J Med Case Reports 2009; 3: 7440.
Öz
Özet
Pulmoner emboli (PE) acil servis’lerde sık karşılaşılan, zor tanı konulan ve mortalitesi oldukça yüksek pulmoner acillerden biridir. Pulmoner emboli vakaları acil servislere çok farklı klinik bulgularla gelebilir. En sık karşılaşılan semptomları ani başlayan dispne, plöretik göğüs ağrısı, öksürük, hemoptizi, taşipne ve taşikardidir. Senkop, pulmoner emboli olgularında nadir görülen ilk başvuru sebebi olmasına rağmen özellikle masif pulmoner emboli vakalarında daha sık gözlenmektedir ve acilen tanı konulup tedavi edilmediği takdirde mortalitesi çok yüksektir. Bu nedenle acil servise senkop ile başvuran hastaların ayırıcı tanısında pulmoner emboli mutlaka akılda bulundurulmalıdır. Bu çalışmada senkop ve vertigo şikayetleri ile acil servise başvuran, ya da hastane içerisinde ani hipotansiyon ve senkop geçiren beş masif pulmoner emboli olgusu sunuldu.
Anahtar sözcükler: Pulmoner emboli, vertigo, senkop
Abstract
Pulmonary embolism (PE) is one of the pulmonary emergent disease which hardly diagnosed, high mortality rates, and frequently seen in emergency department. PE cases are seen many different clinical symptoms. Most common symptoms are sudden started dyspnea, pleuritic chest pain, coughing, hemoptysis, tachypnea, and tachycardia. Syncope is rarely first referring symptom of the PE cases, however, in massif PE cases syncope is more frequently seem and unless urgent diagnosis and treatment, mortality rates is quite high. Therefore, in differential diagnosis of the syncope patients PE must keep in mind. In this study, five massive PE cases were presented who admitted to emergency service with syncope and vertigo symptoms.
Keywords: Pulmonary embolism, vertigo, syncope
Anahtar Kelimeler
Kaynakça
- Morgenthaler TI, Ryu JH. Clinical characteristics of fatal pulmonary embolism in a referral hospital. Mayo Clin Proc 1995; 70: 417-24.
- Bell WR, Simon TL, de Mets DL. The clinical features of submassive and massive pulmonary emboli. Am J Med 1997; 62: 355-63.
- Thames MD, Alpert JS, Dalen JE. Syncope in patients with pulmonary embolism. JAMA 1977; 238: 2509-11.
- Stein PD, Henry JW. Clinical characteristics of patients with acute pulmonary embolism stratified according to their presenting syndromes. Chest 1997; 112: 974Wolfe TR, Allen TL. Syncope as an emergency department presentation of pulmonary embolism. J Emerg Med 1998; 16: 27-31.
- Soga T, Sato Y, Matsumoto N. Right atrial free-floating thrombus in a patient with massive pulmonary embolism: A case of 'emboli in transit. Int J Cardiol 2008; 129: 66-8.
- Meyer MA. Seizure as the presenting sign for massive pulmonary embolism: Case report and review of the literature. Seizure 2009; 18: 76-8.
- Price DT, Ridker PM. Factor V leiden mutation and the risks for thromboembolic disease; a clinical prospective study. AnnInternMed 1997; 127: 895-903. Jiang AG, Lu HY. Agnogenic massive pulmonary embolism with syncope as initial symptom: A case report and review of the literatüre. Exp Ther Med 2013; 5: 1516-8.
- Koutkia P, Wachtel TJ. Pulmonary embolism presenting as syncope: Case report and review of the literature. Heart Lung 1999; 28: 342-7.
- Calvo- Romero JM, Perez- Miranda M, Bureo- Dacal P. Syncope in acute pulmonary embolism. Eur J Emerg Med 2004; 11: 208-9.
- Demircan A, Aygencel G, and Bildik F. Pulmonary embolism presenting as syncope: A case report. J Med Case Reports 2009; 3: 7440.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 10 Şubat 2014 |
| Yayımlandığı Sayı | Yıl 2014Cilt: 36 Sayı: 3 |