Management of Thromboembolism (Pulmonary Embolism) in Coronary Cardiac Unit

Abstract

Pulmonary embolism and deep vein thrombosis is considered thromboembolism which is the occlusion of blood vessels by thrombus that has fragmented away from its site of formation. Pulmonary embolism can be fatal which occurs when the Deep vein thrombosis breaks free from wall of a vein and blocks some or all of the blood supply to the lungs. Clinical presentations are pleuritic chest pain, rapid breathing, increased heart rate of patient and shortness of breath. It involves hypercoagulability, circulatory stasis and endothelial damage causing stagnation of blood flow which can be diagnosed by CT angiography. Computed tomography, or CT angiography is most often used but sometimes ventilation-perfusion lung scan is also used. Recommended treatment involves anticoagulant therapy, thrombolytics and surgery. In this case report, referred patient of 42 years old male is suffering from pulmonary embolism having chest pain along with diabetes and he was treated by thrombolytic therapy as well as by life style modifications which finally stabilizes his chest pain and condition of pulmonary embolism.