Pulmonary embolism

Medium urgency
CommonModerately severe

It occurs as a result of obstruction of the pulmonary artery by a thrombus or clot that has traveled from a vein, usually located in the deep venous system of the legs.

It is much less frequent in children than in adults.

There are genetic and acquired factors that can promote their formation. Among the most frequent acquired factors are: obesity, immobilization, oral contraceptives, pregnancy, autoimmune diseases, cancer, etc.

Patients display shortness of breath, fast breathing, cough and chest pain.

The diagnosis combines clinical history, laboratory tests, electrocardiogram and imaging tests.

Treatment is based on oxygen therapy and anticoagulants to prevent the formation of new clots. More severe cases will be treated with fibrinolytics whose function is to dissolve the existing thrombus.

It is a life-threatening disease which requires going to a hospital.

Bibliographic references
  1. B Taylor Thompson. Clinical presentation, evaluation, and diagnosis of the adult with suspected acute pulmonary embolism. UpToDate. Aug 25, 2016.
  2. Konstantinides SV, Torbicki A, Agnelli G, et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 2014; 35:3033.
  3. Stein PD, Beemath A, Matta F, et al. Clinical characteristics of patients with acute pulmonary embolism: data from PIOPED II. Am J Med 2007; 120:871.
  4. Samule Z. Goldhaber. Trombosis venosa profunda y tromboembolismo pulmonar. Harrison. Principios de Medicina Interna. Volumen 2. 19ª Edición. 1631:1637.
  5. J. Roca, J. Ruiz. Trastornos circulatorios del pulmón. Farreras Rozman. Medicina Interna. Volumen I. Duodécima edición. 814:817.
  6. Raquel Labra González, Ángel Sánchez Castaño, Agustín Julián Jiménez. Tromboembolismo pulmonar. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 383:390.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Sudden shortness of breath


    Chest pain increases when you breathe deeply


    Faster breathing rate


    Difficult breathing


    Chest pain at rest