| Pulmonary embolism as a cause of death in patients with heart disease: an autopsy study. | |
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MedLine Citation:
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PMID: 16685020 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To establish the prevalence of pulmonary embolism (PE) in autopsy material at a tertiary cardiac referral center and its importance as a cause of death in patients with heart disease (HD). DESIGN: Case series. SETTING: National Heart Institute, Mexico City. PATIENTS: One thousand thirty-two patients who died at our institution from 1985 to 1994 in whom an autopsy study was performed. MEASUREMENTS AND RESULTS: Of the 1,032 autopsies reviewed, 231 cases (24.4%) of PE were found; 100 of these patients had a diagnosis of massive PE. Massive PE (obstruction of either of the main pulmonary arteries or more than two lobar arteries) was found to be the third cause of death in this HD population. By age-group distribution, the global prevalence of massive events was higher in patients < 10 years old. Clinical suspicion (premortem) was raised in only 18% of the cases. CONCLUSIONS: PE was a frequent cause of morbidity and mortality in patients with HD who underwent autopsies. The incidence of massive PE was high in children. |
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Authors:
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Tomás Pulido; Alberto Aranda; Marco Antonio Zevallos; Edgar Bautista; Maria Luisa Martínez-Guerra; Luis Efrén Santos; Julio Sandoval |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Chest Volume: 129 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 2006 May |
Date Detail:
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Created Date: 2006-05-10 Completed Date: 2006-05-30 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
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Languages: eng Pagination: 1282-7 Citation Subset: AIM; IM |
Affiliation:
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Cardiopulmonary, Instituto Nacional de Cardiología Ignacio Chávez, México D.F., México. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Autopsy Cause of Death* Female Heart Diseases / complications, mortality*, pathology Humans Male Mexico / epidemiology Pulmonary Embolism / complications*, mortality, pathology Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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