0231 : Clinical features of pulmonary embolism in elderly

Autor: Rachida Habbal, Fatima Ezzahra Sabri, Mariame Abelhad, Hayat Najih, Laila Azzouzi
Rok vydání: 2016
Předmět:
Zdroj: Archives of Cardiovascular Diseases Supplements. 8:195
ISSN: 1878-6480
DOI: 10.1016/s1878-6480(16)30342-1
Popis: Purpose The aim of this study was to determine the clinical features of pulmonary embolism in elderly patients (≥70 years). Methods All patients hospitalized for PE in our cardiology department from January 2013 to December 2014 were included in the study. The aim was to compare the features of pulmonary embolism in elderly patients (≥70 years) (Group 1) to those of patients younger than 70 years (Group 2). The following data were recorded: past medical history, risk factors for venous thrombo-embolism (VTE), clinical features, and echocardiographic data. Results The population was composed of 50 patients (women 78%) with a median age of 55,4 years ± 15,8. There was no statistical difference for risk factors of VTE. Syncope/faintness was more frequent in elderly patients (21% versus 0%, P=0.019). On admission we note the predominance of shock in group 1 (42% versus 11%, p=0.020). The diagnosis of PE was often mentioned and even confirmed by Transthoracic echocardiography allowing us to start thrombolysis without waiting for confirmation by chest CT. TTE has shown a thrombus in the right cavities in 35% of patients in Group 1 against only 2.7% of patients in group 2 (P=0.005) and right ventricular (RV) dysfunction in 85% of group 1 versus 25% group 2 (P Conclusion Our work emphasizes the seriousness of pulmonary embolism in the elderly. We confirm the difficulty of diagnosis of PE in this population. The author hereby declares no conflict of interest
Databáze: OpenAIRE
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