Терапевтический архив (Mar 2013)
Analysis of fatal outcomes from pulmonary thromboembolism in young subjects
Abstract
AIM: To investigate the risk factors and main clinical signs of fatal pulmonary thromboembolism (PTE) in young subjects/MATERIAL AND METHODS: Medical case reports and postmortem examination results were retrospectively analyzed in 32 patients (all males) who had died from PTE in different Moscow health care facilities in 2002 to 2010/RESULTS: No idiopathic thromboembolism cases were found. Each patient had at least two risk factors. Most patients developed generalized obstruction of the pulmonary vascular bed, by involving mainly the great arteries, which resulted in right ventricular failure and sudden death/CONCLUSION: The findings may be used not only to assess the clinical probability of PTE diagnosis, but also to choose adequate preventive measures.