| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Guest Access | Sign In via User Name/Password
|
|
|
|||||||
Guest Access | Sign In via User Name/Password |
|||||||||
Chest, Vol 95, 498-502, Copyright © 1989 by American College of Chest Physicians
ARTICLES |
MV Huisman, HR Buller, JW ten Cate, EA van Royen, J Vreeken, MJ Kersten and B Bakx
Center for Thrombosis, Hemostasis and Atherosclerosis Research, Academic Medical Center, Amsterdam, The Netherlands.
In patients presenting with clinically suspected deep vein thrombosis, symptomatic pulmonary embolism is rarely apparent. To assess the prevalence of silent pulmonary embolism in outpatients with proven deep vein thrombosis but without symptoms of pulmonary embolism, perfusion ventilation lung scans were performed in 101 consecutive patients at presentation. Fifty-one percent of these patients had a high probability lung scan at the initiation of treatment. In comparison, in patients referred with suspected venous thrombosis, but who on subsequent objective testing did not have venous thrombosis (n = 44), the prevalence of a high probability-scan for pulmonary embolus was only 5 percent. At repeat lung scanning, performed after one week of anticoagulant treatment, complete to partial improvement was observed in 68 percent of the patients with initially abnormal scans. Lung-scan detected asymptomatic pulmonary embolism occurs frequently in patients presenting with symptomatic deep venous thrombosis, and the majority of these emboli showed significant to complete resolution within one week of anticoagulant treatment.
This article has been cited by other articles:
|
|
 |
|
  F. A. Spencer, J. M. Gore, D. Lessard, J. D. Douketis, C. Emery, and R. J. Goldberg Patient Outcomes After Deep Vein Thrombosis and Pulmonary Embolism: The Worcester Venous Thromboembolism Study Arch Intern Med, February 25, 2008; 168(4): 425 - 430. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Parakh, S. Kapadia, S. Agarwal, T. Grover, S. Bukhari, A. Yadav, I. Sen, and P. Pankaj Assessment of total thrombus load in symptomatic patients with venous thromboembolism. Clinical and Applied Thrombosis/Hemostasis, July 1, 2006; 12(3): 369 - 372. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Ogren, D. Bergqvist, H. Eriksson, B. Lindblad, and N. H. Sternby Prevalence and risk of pulmonary embolism in patients with intracardiac thrombosis: a population-based study of 23 796 consecutive autopsies Eur. Heart J., June 1, 2005; 26(11): 1108 - 1114. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. J. McRae and J. S. Ginsberg Initial Treatment of Venous Thromboembolism Circulation, August 31, 2004; 110(9_suppl_1): I-3 - I-9. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. E. Cox, S. S. Carson, and A. K. Biddle Cost-effectiveness of Ultrasound in Preventing Femoral Venous Catheter-associated Pulmonary Embolism Am. J. Respir. Crit. Care Med., December 15, 2003; 168(12): 1481 - 1487. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Kearon Natural History of Venous Thromboembolism Circulation, June 17, 2003; 107(90231): I-22 - 30. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. T. Philbrick and S. Heim The D-Dimer Test for Deep Venous Thrombosis: Gold Standards and Bias in Negative Predictive Value Clin. Chem., April 1, 2003; 49(4): 570 - 574. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Kearon Diagnosis of pulmonary embolism Can. Med. Assoc. J., January 21, 2003; 168(2): 183 - 194. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. D. Stein, K. C. Patel, N. K. Kalra, M. Petrina, P. Savarapu, J. W. Furlong Jr., R. D. Steele Jr., and F. E. Check Estimated Incidence of Acute Pulmonary Embolism in a Community/Teaching General Hospital Chest, March 1, 2002; 121(3): 802 - 805. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S P G Padley Lung scintigraphy vs spiral CT in the assessment of pulmonary emboli Br. J. Radiol., January 1, 2002; 75(889): 5 - 8. [Full Text] [PDF]
|
|
|
|
|
|
P. GIRARD, M. DECOUSUS, S. LAPORTE, A. BUCHMULLER, P. HERVE, C. LAMER, F. PARENT, and B. TARDY Diagnosis of Pulmonary Embolism in Patients with Proximal Deep Vein Thrombosis . Specificity of Symptoms and Perfusion Defects at Baseline and during Anticoagulant Therapy Am. J. Respir. Crit. Care Med., September 15, 2001; 164(6): 1033 - 1037. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Merrer, B. De Jonghe, F. Golliot, J.-Y. Lefrant, B. Raffy, E. Barre, J.-P. Rigaud, D. Casciani, B. Misset, C. Bosquet, et al. Complications of Femoral and Subclavian Venous Catheterization in Critically Ill Patients: A Randomized Controlled Trial JAMA, August 8, 2001; 286(6): 700 - 707. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. K. Breddin, V. Hach-Wunderle, R. Nakov, V. V. Kakkar, and The CORTES Investigators Effects of a Low-Molecular-Weight Heparin on Thrombus Regression and Recurrent Thromboembolism in Patients with Deep-Vein Thrombosis N. Engl. J. Med., March 1, 2001; 344(9): 626 - 631. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. D. Hull, G. F. Pineo, C. Francis, D. Bergqvist, C. Fellenius, K. Soderberg, A. Holmqvist, M. Mant, R. Dear, B. Baylis, et al. Low-Molecular-Weight Heparin Prophylaxis Using Dalteparin Extended Out-of-Hospital vs In-Hospital Warfarin/Out-of-Hospital Placebo in Hip Arthroplasty Patients: A Double-blind, Randomized Comparison Arch Intern Med, July 24, 2000; 160(14): 2208 - 2215. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. D. Stein Silent Pulmonary Embolism Arch Intern Med, January 24, 2000; 160(2): 145 - 146. [Full Text] [PDF]
|
|
|
|
|
|
M. Meignan, J. Rosso, H. Gauthier, F. Brunengo, S. Claudel, L. Sagnard, P. d'Azemar, G. Simonneau, and B. Charbonnier Systematic Lung Scans Reveal a High Frequency of Silent Pulmonary Embolism in Patients With Proximal Deep Venous Thrombosis Arch Intern Med, January 24, 2000; 160(2): 159 - 164. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. D. Hull, G. E. Raskob, R. F. Brant, G. F. Pineo, G. Elliott, P. D. Stein, A. Gottschalk, K. A. Valentine, A. F. Mah, and for the American-Canadian Thrombosis Study Group Low-Molecular-Weight Heparin vs Heparin in the Treatment of Patients With Pulmonary Embolism Arch Intern Med, January 24, 2000; 160(2): 229 - 236. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Girard, D. Musset, F. Parent, S. Maitre, C. Phlippoteau, and G. Simonneau High Prevalence of Detectable Deep Venous Thrombosis in Patients With Acute Pulmonary Embolism Chest, October 1, 1999; 116(4): 903 - 908. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. D. Stein, H.-l. Huang, A. Afzal, and H. A. Noor Incidence of Acute Pulmonary Embolism in a General Hospital: Relation to Age, Sex, and Race Chest, October 1, 1999; 116(4): 909 - 913. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Laffan Genetics and pulmonary medicine bullet 4: Pulmonary embolism Thorax, August 1, 1998; 53(8): 698 - 702. [Full Text]
|
|
|
|
 |
|
 D E FitzGerald, A M O'Shaughnessy, J. H Gillard, N. J Screaton, L. H Berman, J. H Reid, D. J Hardwick, S. Wolstenhulme, S. Richards, M. Weston, et al. Compression ultrasonography for diagnosing deep vein thrombosis BMJ, May 16, 1998; 316(7143): 1532 - 1532. [Full Text]
|
|
|
|
|
|
The Columbus Investigators Low-Molecular-Weight Heparin in the Treatment of Patients with Venous Thromboembolism N. Engl. J. Med., September 4, 1997; 337(10): 657 - 662. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Ginsberg Management of Venous Thromboembolism N. Engl. J. Med., December 12, 1996; 335(24): 1816 - 1829. [Full Text] [PDF]
|
|
|
|
|
|
E. E. Weinmann and E. W. Salzman Deep-Vein Thrombosis N. Engl. J. Med., December 15, 1994; 331(24): 1630 - 1641. [Full Text]
|
|
|
|
|
|
W. C. Black and H. G. Welch Advances in Diagnostic Imaging and Overestimations of Disease Prevalence and the Benefits of Therapy N. Engl. J. Med., April 29, 1993; 328(17): 1237 - 1243. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
