Margita Belicová, Veronika Belicová, Mariana Kasperkevič-Trnovcová, Marian Mokáň
We are submitting a analysis of patients with pulmonary embolism hospitalized at the 1st Internal Clinic, Faculty Hospital in Martin, within the years 1996-2013. Aim: evaluation of incidence, diagnostic and treatment of patients with pulmonary embolism hospitalized in the stated period. Patients and methods: In this 18-year period total 49633 patients were hospitalized, 526 out of them (273 men and 253 women) with pulmonary embolism at the average age 63.7 years (SD 16.56). Patients with uncertain diagnosis of pulmonary embolism were excluded. The diagnosis and treatment was stated on the basis of European Society of Cardiology. The patients were followed next years as outpatients, or they were examined during another hospitalization. Results: Patients with explicitly confirmed pulmonary embolism created 1.06 % of all hospitalized patients. The average age of men was lower compared to women (60.6 vs 67.2). As high-risk pulmonary embolism presented 15,6 %, intermediate-risk 42.4 % and low-risk 42 % of all patients with pulmonary embolism. The source of pulmonary embolism was not detected in 50.6 % and predisposig factors were not detected in 45.4 % of all with pulmonary embolism. With thrombolytic therapy were treated 27.6 % of all patient with pulmonary embolism. Early mortality occurred in 7.8 % and chronic thromboembolic pulmonary hypertension developed in 1.9 % of patients with pulmonary embolism. Conclusion: We detected slowly increasing occurrence and age of patients with pulmonary embolism and from 2002 increasing occurence of non-provoked pulmonary embolism. In the patients with non-provoked pulmonary embolism compared to patients with provoked pulmonary embolism dominant symptom was chest pain (38.1 vs 7.7), the diagnosis was more frequent omitted at the 1st examination (31 % vs 9 %) and had in history more frequent acute coronary syndrome (26.4 vs 3.8), stroke (17.2 vs 8.4) and smoking (28.9 vs 16,7).