Zakariya Irfanullah, Rizwan Khan, Zia-ud Deen, Syed Ijlal Ahmed, Syeda Beenish Bareeqa, Syeda Sana Samar, Asiya Jatoi, Sultana Habib.
Varied presentations of acute pulmonary embolism.
Pak Heart J Jan ;51(1):86-90.

Acute pulmonary embolism (APE) is a common disease which can be potentially fatal unless treated promptly. APE can present with a wide clinical severity,ranging from asymptomatic to RV failure - ultimately leading to death. This variable presentation often hinders the timely diagnosis and management of PE,thereby increasing mortality. Immediate diagnosis and prompt, effective therapy significantly decreases the mortality rate. Here, we describe three patients who presented with varying symptoms and were ultimately diagnosed with PE. In all three cases, the major underlying risk factor was prolonged immobilization (due to either hospitalization or due to their profession) and all were treated immediately following diagnosis. This article emphasizes the importance of keeping a high index of clinical suspicion for pulmonary embolism in immobilized patients, rapid diagnostic workup and immediate treatment of patients presenting with PE along with adequate counseling.

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