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Apr 20, 2023Article Details
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The Variability in the Clinical Presentation of Acute Pulmonary Embolism: A Case Series
Abstract
Introduction: Acute pulmonary embolism (PE) occurs when a thrombus dislodges from a peripheral part of the body to block any of the branches of the pulmonary artery. Its variable nature of presentation frequently leads to a missed diagnosis and increased morbidity or mortality from PE. This series aims to highlight some of the variable presentations of acute pulmonary embolism with the objective of stimulating a high index of suspicion, which can lead to early diagnosis and treatment.
Methods: The electronic medical records of 3 patients in a private hospital in Abuja were selected for the series, together with a review of the existing literature. Electrocardiographic tracings were also different in all 3 cases. Consent to use patient information was obtained from the patients, and the approval for the case series obtained from the head of the department of research of the hospital.
Results: The clinical presentation of acute PE was highly variable in all 3 cases, with the least symptomatic case having a saddle-embolus lodged at the bifurcation of the pulmonary artery.
Conclusion: The prognosis of PE depends on early diagnosis and treatment. Mortality and morbidity from this condition can be reduced with a background knowledge of its variable clinical presentation and a high-index of suspicion.
