Matej Vnučák, Renáta Michalová, Margita Belicová, Marián Mokáň
We are submitting an analysis of patients with pulmonary embolism hospitalised in the 1st Internal Clinic, Faculty Hospital
in Martin since 1 Jan to 31 Dec 2015.
The aim of the work: To evaluate the clinical manifestation, risk factors, course of the disease and the response to the
treatment of patients with pulmonary embolism, who were hospitalised in the stated period at our workplace.
Set of patients and methods: In this period 4,918 patients were hospitalised, 56 out of them (28 men and 28 women)
with pulmonary embolism with the average age 58.7. The final diagnosis was detected based on the recommendations
of the European Society of Cardiology from the year 2014, according to which the treatment was performed in the
majority of cases.
Results: Patients with pulmonary embolism created 1.2 % of all hospitalised patients in the given period. The average
age of men was lower compared to women (55.1 vs 59). 12.5 % of patients were diagnosed as PE with a high risk,
87.5 % without a high risk (average age 67.1 vs 57.7 years). In the group of patients fatal PE presented 7.1 % (10.7 %
men, respectively 3.6 % of women). Most frequently PE manifested as breathlessness (78.6 %), cough (42.9 %), unilateral
pain in the lower extremity (33.9 %), sharp precisely localized pain in the chest (33.9 %), body temperature over
38°C (23,2 %), dull retrosternal pain (21.4 %), syncope (12.5 %) and haemoptysis (3.6 %). Deep venous thrombosis was
sonographically verified in 37.5 % of patients.
Conclusion: Pulmonary embolism presents an actual medical problem with a high mortality. In the diagnostic therapeutical
algorithm it is necessary to take into consideration the incidence of comorbidities and risk factors, increasing the
probability of its early diagnosis, by what we can lower its mortality.