Cor Vasa 2019, 61(1):15-19 | DOI: 10.1016/j.crvasa.2018.06.003

Pulmonary embolism cohort in Pisek Hospital

Miroslav Kodým

Interní oddělení, Nemocnice Písek, Písek

We present retrospective unselected cohort of 204 consecutive patients treated for pulmonary embolism at Internal medicine department of Hospital Písek. We achieved low in-patient mortality (5.88%) even with a very conservative use of thrombolysis (8.82%). In total there were 39 patients with high risk PE (2009 Czech nomenclature as "massive"), 44 with intermediate-risk PE (2009 Czech nomenclature as "submassive"), 121 with low-risk PE (2009 Czech nomenclature as "small"). Data were collected before 2014 ESC guidelines and PEITHO study. CTA was performed in 81.86% of patients. It is an excellent diagnostic tool, but in urgent cases its use is often limited by patients' haemodynamic instability. In our case 16 patients with massive PE had no CTA, of which 12 underwent emergency echocardiography and doppler ultrasound of lower extremity veins. Four patients were diagnosed after unsuccessful CPR by bed-side ultrasound techniques.

Keywords: Cohort, Pulmonary embolism

Published: March 21, 2019  Show citation