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http://dx.doi.org/10.1016/j.ejim.2020.12.013 | DOI Listing |
Cureus
October 2024
Emergency Medicine, Emergency Physicians of Northwest Ohio (EPNO), Toledo, USA.
A pulmonary embolism (PE) is a serious condition characterized by obstruction of the pulmonary arteries, often presenting with symptoms such as sudden shortness of breath and chest pain. While pulmonary emboli and ST-segment elevation myocardial infarctions (STEMI) are distinct clinical entities, they can present with similar electrocardiogram (ECG) findings, complicating diagnosis and management. This study presents two case reports of patients who exhibited ECG changes resembling STEMI but were ultimately diagnosed with PE via CT angiography (CTA).
View Article and Find Full Text PDFJ Atheroscler Thromb
October 2024
Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University.
Aim: Venous thromboembolism (VTE) risk significantly increases in patients with an acute exacerbation of chronic obstructive pulmonary disease (AECOPD), which is characterized by an enhanced inflammatory response. This study aimed to evaluate the predictive value of inflammatory biomarkers for VTE in AECOPD.
Methods: A prospective, multicenter study was conducted to include patients hospitalized for AECOPD.
BMC Cardiovasc Disord
October 2024
Department of Emergency, Shenzhen Nanshan People's Hospital, No. 89, Taoyuan Road, Nanshan District, Shenzhen, Guangdong Province, 518052, China.
Background: We evaluated the diagnostic value of homocysteine (Hcy) levels combined with the Wells score and established a prediction model for venous thromboembolism (VTE) occurrence in patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) based on the Hcy level and the Wells score.
Patients And Methods: Clinical information from 914 patients with AECOPD was retrospectively collected in our hospital from June 2020 to October 2023. Receiver operating characteristic curves were plotted to evaluate the diagnostic ability of Hcy concentrations combined with Wells scores and the prediction ability of the model.
Int J Chron Obstruct Pulmon Dis
October 2024
Department of Respiratory and Critical Medicine, Key Laboratory of Respiratory Disease of Ningbo, The First Affiliated Hospital of Ningbo University, Ningbo, People's Republic of China.
Background: Epidemiologic studies have shown that patients with acute exacerbation of COPD (AECOPD) suffer from morbidity and mortality from venous thromboembolism (VTE) and poor diagnosis. Von Willebrand factor (vWF) and plasminogen activator inhibitor type-1 (PAI-1) are frequently investigated in COPD as crucial parameters for coagulation and fibrinolysis. Nevertheless, the role of vWF and PAI-1 in AECOPD needs further exploration.
View Article and Find Full Text PDFEmergencias
June 2024
Departamento de Medicina Interna, Clínica Universidad de Navarra, Madrid, España. CIBER Enfermedades Respiratorias (CIBERES), Madrid, España. Interdisciplinar Teragnosis and Radiosomics (INTRA) Research Group, Universidad de Navarra, España.
Objective: To evaluate agreement between risk-assessment models for venous thromboembolism (VTE) in patients hospitalized for medical conditions and to analyze variables associated with the decision to prescribe pharmacological thromboprophylaxis in hospital emergency departments (EDs). Conclusions.
Methods: Prospective observational multicenter cohort study.
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