Clinical profile, management and outcomes of patients with pulmonary embolism: a retrospective tertiary centre study in Angola.

Autor:	Manuel A; Cardiothoracic Center, Girassol Clinic, Luanda, Angola. Email: mosalina@live.com.pt., Aufico A; Intensive Care Unit, Girassol Clinic, Luanda, Angola., Africano R; Intensive Care Unit, Girassol Clinic, Luanda, Angola., Peralta T; Cardiothoracic Center, Girassol Clinic, Luanda, Angola., Salas A; Cardiothoracic Center, Girassol Clinic, Luanda, Angola., Silva A; Intensive Care Unit, Girassol Clinic, Luanda, Angola., Ricardo J; Cardiothoracic Center, Girassol Clinic, Luanda, Angola., Sabola P; Cardiothoracic Center, Girassol Clinic, Luanda, Angola., Baião D; Cardiothoracic Center, Girassol Clinic, Luanda, Angola., Sotolongo C; Intensive Care Unit, Girassol Clinic, Luanda, Angola., Neto AD; Intensive Care Unit, Girassol Clinic, Luanda, Angola., Martins T; Cardiothoracic Center, Girassol Clinic, Luanda, Angola., Sabino V; Imaging Department, Girassol Clinic, Luanda, Angola., van Dúnem J; Studies Office, Girassol Clinic, Luanda, Angola., Júnior APF; Cardiothoracic Center, Girassol Clinic, Luanda, Angola.
Jazyk:	angličtina
Zdroj:	Cardiovascular journal of Africa [Cardiovasc J Afr] 2017 Nov/Dec 23; Vol. 28 (6), pp. 356-361. Date of Electronic Publication: 2017 May 17.
DOI:	10.5830/CVJA-2017-017
Abstrakt:	Objective: Pulmonary embolism (PE) is a potentially fatal disease. In Angola, few data are available on its occurrence. The aim of the study was to characterise the clinical profile, management and outcomes of patients with PE. Methods: A retrospective observational study was conducted at the Girassol Clinic in Luanda, Angola. The medical records of patients admitted to the intensive care unit were analysed from 2011 to 2015. Results: Fifty patients were included and the median age was 50.5 ± 17.8 years. Dyspnoea and immobilisation for more than 72 hours were the most frequently seen risk factors at admission; 28% of the patients had massive PE, 36% sub-massive PE, 28% were haemodynamically unstable at admission and 30% had a very high risk of mortality. The in-hospital mortality rate was 20%. Conclusions: The clinical characteristics of our patients were similar to those described in the literature. The high prevalence of patients with very high risk at admisson highlights the need to investigate the cause of worst cardiovascular disease outcomes in Africans.
Databáze:	MEDLINE
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