Authors
Alpert, Joseph S.Smith, Roger E.
Carlson, C. Jeffrey
Ockene, Ira S.
Dexter, Lewis
Dalen, James E.
UMass Chan Affiliations
Department of Medicine, Division of Cardiovascular MedicineDocument Type
Journal ArticlePublication Date
1976-09-27Keywords
Acute DiseaseAdolescent
Adult
Aged
Heart Failure
Heart Ventricles
Humans
Hypertension, Pulmonary
Middle Aged
Prognosis
Pulmonary Embolism
Recurrence
Shock, Cardiogenic
Cardiology
Cardiovascular Diseases
Pathological Conditions, Signs and Symptoms
Therapeutics
Metadata
Show full item recordAbstract
The hospital course of 144 consecutive patients with pulmonary embolism (PE) demonstrated by pulmonary angiography was reviewed to determine the mortality of patients with treated PE. Twelve patients (8%) died of PE, and eight died of causes other than PE; 124 (86%) survived. Pulmonary embolism was the primary cause of death in only four of the 12 patients who died of PE. Pulmonary embolism contributed to the death of eight other patients, each of whom had associated potentially lethal disease, particularly heart disease. The most important factor affecting mortality was shock due to acute right ventricular failure secondary to massive PE (mortality, 32%). Mortality was not related to magnitude of PE per se; the mortality of patients with massive PE without shock (6%) was the same as that for patients with submassive PE (5%. Patients with PE who survive long enough to have the diagnosis established and appropriate prophylactic therapy begun have an excellent prognosis, unless they have associated severe medical disease.Source
JAMA. 1976 Sep 27;236(13):1477-80.
DOI
10.1001/jama.1976.03270140029017Permanent Link to this Item
http://hdl.handle.net/20.500.14038/26357PubMed ID
989113Related Resources
ae974a485f413a2113503eed53cd6c53
10.1001/jama.1976.03270140029017