The American Journal of Medicine
Volume 119, Issue 10 , Pages 851-858 , October 2006

Pulmonary Embolism in Patients with Chronic Obstructive Pulmonary Disease or Congestive Heart Failure

  • Manuel Monreal, PhD

      Affiliations

    • Servicio de Medicina Interna, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
    • Corresponding Author InformationRequests for reprints should be addressed Manuel Monreal, PhD, Servicio de Medicina Interna, Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Barcelona, Spain.
  • ,
  • Juan Francisco Sanchez Muñoz-Torrero, MD

      Affiliations

    • Servicio de Medicina Interna, Hospital San Pedro de Alcántara, Cáceres, Spain
  • ,
  • Virjanand S. Naraine, MD

      Affiliations

    • Division of Respirology, University of Toronto, Canada
  • ,
  • David Jiménez, MD

      Affiliations

    • Servicio de Neumología, Hospital Universitario Ramón y Cajal, Madrid, Spain
  • ,
  • Silvia Soler, MD

      Affiliations

    • Servicio de Medicina Interna, Hospital Sant Jaume, Gerona, Spain
  • ,
  • Ramón Rabuñal, MD

      Affiliations

    • Servicio de Medicina Interna, Complejo Hospitalario Xeral-Calde, Lugo, Spain
  • ,
  • Pedro Gallego, MD

      Affiliations

    • Servicio de Medicina Interna, Hospital SAS de Jerez, Cádiz, Spain.
  • ,
  • RIETE Investigators

References 

  1. Tapson V, Carroll BA, Davidson BL, et al. The diagnostic approach to acute venous thromboembolism: clinical practice guideline. Am J Respir Crit Care Med. 1999;160:1043–1066
  2. Guidelines on diagnosis and management of acute pulmonary embolism. Eur Heart J. 2000;21:1301–1336
  3. Arcelus JI, Monreal M, Caprini JA, Suárez C, González-Fajardo JA RIETE investigators. The management and outcome of acute venous thromboembolism: a prospective registry including 4011 Patients. J Vasc Surg. 2003;38:916–922
  4. Monreal M, Kakkar AK, Caprini JA, et al. RIETE Investigators The outcome after treatment of venous thromboembolism is different in surgical and acutely ill medical patients (Findings from the RIETE Registry). J Thromb Haemost. 2004;2:1–7
  5. Monreal M, Suárez C, González Fajardo JA, et al. RIETE investigators Management of patients with acute venous thromboembolism: findings from the RIETE Registry. J Pathophysiol Haemost Thromb. 2003;33:330–334
  6. Nieto JA, Díaz de Tuesta A, Marchena PJ, et al. RIETE investigators Clinical outcome of patients with venous thromboembolism and recent major bleeding: findings from a prospective registry (RIETE). J Thromb Haemost. 2005;3:703–709
  7. Wicki J, Perneger TV, Junod AF, Bounameaux H, Perrier A. Assessing clinical probability of pulmonary embolism in the emergency ward (A simple score). Arch Intern Med. 2001;161:92–97
  8. Miniati M, Monti S, Bottai M. A structured clinical model for predicting the probability of pulmonary embolism. Am J Med. 2003;114:173–179
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  10. Perrier A, Perneger T, Cornuz J, Jounieaux V, Bounameaux H. Édude BPCO-EP: prévalence et prédiction de l’embolie pulmonaire dans ′’exacerbation de la broncho-pneumopathie obstructive chronique. Rev Mal Respir. 2004;21:791–795
  11. Erelel M, Çuhadaroglu Ç, Ece T, Arseven O. The frequency of deep venous thrombosis and pulmonary embolus in acute exacerbation of chronic obstructive pulmonary disease. Respir Med. 2002;96:515–518
  12. Prescott SM, Richards KL, Tikoff G, Armstrong JD, Shigeoka JW. Venous thromboembolism in decompensated chronic obstructive pulmonary disease (A prospective study). Am Rev Respir Dis. 1981;123:32–36
  13. Fedullo PF, Tapson VF. The evaluation of suspected pulmonary embolism. N Engl J Med. 2003;349:1247–1256
  14. Stein PD, Terrin ML, Hales CA, et al. Clinical, laboratory, roentgenographic, and electrocardiographic findings in patients with acute pulmonary embolism and no preexisting cardiac or pulmonary disease. Chest. 1991;100:598–603
  15. Laack TA, Goyal DG. Pulmonary embolism: an unsuspected killer. Emerg Med Clin Am. 2004;22:961–983
  16. Stebbings AEL, Lim TK. A patient with exacerbation of COPD who did not respond to conventional treatment. Chest. 1998;114:1759–1761
  17. Tamariz LJ, Eng J, Segal JB, et al. Usefulness of clinical prediction rules for the diagnosis of venous thromboembolism: a systematic review. Am J Med. 2004;117:676–684
  18. Hartmann IJC, Hagen PJ, Melissant CF, Postmus PE, Prins MH ANTELOPE Study Group. Diagnosing acute pulmonary embolism (Effect of chronic obstructive pulmonary disease on the performance of d-dimer testing, ventilation/perfusion scintigraphy, spiral computed tomographic angiography, and conventional angiography). Am J Respir Crit Care Med. 2000;162:2232–2237
  19. Lesser BA, Leeper KV, Stein PD, et al. The diagnosis of acute pulmonary embolism in patients with chronic obstructive pulmonary disease. Chest. 1992;102:17–22
  20. Goldhaber SZ, Tapson VF DVT FREE Steering Committee. A prospective Registry of 5,451 patients with ultrasound-confirmed deep vein thrombosis. Am J Cardiol. 2004;93:259–262

 Supported by Sanofi-Aventis, Paris, France with an unrestricted educational grant, and partially supported by Red Respira from the Instituto Carlos III, Madrid, Spain (RedRespira-ISCiii-RTIC-03/11).

 A full list of RIETE investigators is given in the Appendix.

PII: S0002-9343(06)00601-2

doi: 10.1016/j.amjmed.2005.11.035

The American Journal of Medicine
Volume 119, Issue 10 , Pages 851-858 , October 2006