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Review
. 2023 Jan 1;13(1):141.
doi: 10.3390/diagnostics13010141.

Pulmonary Embolism and Respiratory Deterioration in Chronic Cardiopulmonary Disease: A Narrative Review

Delphine Douillet  1   2   3 , Tahar Chouihed  4 , Laurent Bertoletti  3   5 , Pierre-Marie Roy  1   2   3
Affiliations
Review

Pulmonary Embolism and Respiratory Deterioration in Chronic Cardiopulmonary Disease: A Narrative Review

Delphine Douillet et al. Diagnostics (Basel). .

Abstract

Patients with chronic cardiopulmonary pathologies have an increased risk of developing venous thromboembolic events. The worsening of dyspnoea is a frequent occurrence and often leads patients to consult the emergency department. Pulmonary embolism can then be an exacerbation factor, a differential diagnosis or even a secondary diagnosis. The prevalence of pulmonary embolism in these patients is unknown, especially in cases of chronic heart failure. The challenge lies in needing to carry out a systematic or targeted diagnostic strategy for pulmonary embolism. The occurrence of a pulmonary embolism in patients with chronic cardiopulmonary disease clearly worsens their prognosis. In this narrative review, we study pulmonary embolism and chronic obstructive pulmonary disease, after which we turn to pulmonary embolism and chronic heart failure.

Keywords: acute heart failure; chronic obstructive pulmonary disease; diagnostic strategy; pulmonary embolism; trigger.

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Conflict of interest statement

The authors declare no potential conflicts of interests relevant to this article.

References

    1. Kelly A.M., Keijzers G., Klim S., Graham C.A., Craig S., Kuan W.S., Jones P., Holdgate A., Lawoko C., Laribi S., et al. An Observational Study of Dyspnea in Emergency Departments: The Asia, Australia, and New Zealand Dyspnea in Emergency Departments Study (AANZDEM) Acad. Emerg. Med. 2017;24:328–336. doi: 10.1111/acem.13118. - DOI - PubMed
    1. Laribi S., Keijzers G., van Meer O., Klim S., Motiejunaite J., Kuan W.S., Body R., Jones P., Karamercan M., Craig S., et al. Epidemiology of patients presenting with dyspnea to emergency departments in Europe and the Asia-Pacific region. Eur. J. Emerg. Med. 2019;26:345–349. doi: 10.1097/MEJ.0000000000000571. - DOI - PubMed
    1. Pollack C.V., Schreiber D., Goldhaber S.Z., Slattery D., Fanikos J., O’Neil B.J., Thompson J.R., Hiestand B., Briese B.A., Pendleton R.C., et al. Clinical characteristics, management, and outcomes of patients diagnosed with acute pulmonary embolism in the emergency department: Initial report of EMPEROR (Multicenter Emergency Medicine Pulmonary Embolism in the Real World Registry) J. Am. Coll. Cardiol. 2011;57:700–706. doi: 10.1016/j.jacc.2010.05.071. - DOI - PubMed
    1. Stein P.D., Beemath A., Matta F., Weg J.G., Yusen R.D., Hales C.A., Hull R.D., Leeper K.V., Sostman H.D., Tapson V.F., et al. Clinical characteristics of patients with acute pulmonary embolism: Data from PIOPED II. Am. J. Med. 2007;120:871–879. doi: 10.1016/j.amjmed.2007.03.024. - DOI - PMC - PubMed
    1. Anderson F.A., Spencer F.A. Risk Factors for Venous Thromboembolism. Circulation. 2003;107:I-9–I-16. doi: 10.1161/01.CIR.0000078469.07362.E6. - DOI - PubMed

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