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Revista SCientifica
Print version ISSN 1813-0054
Abstract
VERCOSA VELASQUEZ CARIO, M.D. TROMBOEMBOLISMO PULMONAR AGUDO. SCIENTIFICA [online]. 2011, vol.9, n.1, pp. 25-30. ISSN 1813-0054.
ABSTRACT Pulmonary embolism is thc obstruction of thc pulmonary artery or one of its branches, by a thrombus sccondary to a deep vein thrombosis. Studíes identify it as the second leading cause of sudden death after acute myocardial infarction, is often underdiagnosed and underreported. The diagnosis and treatment in thc window pcriod is extrcmely important, thc impact in reducing the fatality rate. The pathogenesis of the discasc was eslablished by Virchow with the elassie triad of stasis, endothelial damage, hypcrcoagulable. Obstruction of the pulmonary artery or one of its branches gets incremented the resistance and the pulmonary arterial pressure, and consequently leads to increased right ventricular afterload. As for the clinic, is characterized by sudden onset dyspnea, tachyeardia, tachypnea. and bronchospasm. In some cases presents with hemoptoic and hemoptysis, bronchospasm, respiratory distress and tachypnea, may show signs of shock in massive pulmonary thromboembolism. This papcr prcscnts a literature review that clarifies the management and treatment in a paticnt with pulmonary thromboembolism.
Keywords : Pulmonary embolism; deep vein thrombosis; Virchov triad.