Clinical profile, management and outcomes of patients with pulmonary embolism: a retrospective tertiary centre study in Angola

Manuel, Ana Mosalina; Aufico, Adelina; Africano, Rui; Peralta, Tomáz; Salas, Abel; Silva, Adelaide; Ricardo, José Reinaldo da Silva; Sabola, Pedro; Baião, Domingas; Sotolongo, Carlos Brown; Neto, Antonio Dias; Martins, Telmo; Sabino, Vasco; Dúnem, Joaquim van; Júnior, António Pedro Filipe

doi:10.5830/cvja-2017-017

Cited by 7 publications

(9 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most common ECG finding was sinus tachycardia (cases 2, 3 &5) followed by the characteristic feature of large S wave in lead1, pathologic Q wave in lead III, and inverted T wave in lead III (SIQ3T3) (cases 1&3). This is similar to the finding in the Angola study (4). The most common abnormality on the echocardiogram was left ventricular hypertrophy (cases 1, 3 &4).…”

Section: Figures 7 and 8: The Chest Ctpa For The Patient In Case 5 DIsupporting

confidence: 88%

“…The most common abnormality on the echocardiogram was left ventricular hypertrophy (cases 1, 3 &4). This finding shares no similarity with other studies in which right atrial enlargement and right axis deviations were the two most common ECG findings (3,4,7,13). However, it is an important tool in the investigation and management of PE 4 .…”

Section: Figures 7 and 8: The Chest Ctpa For The Patient In Case 5 DIsupporting

confidence: 57%

“…There are unfounded beliefs that pulmonary thromboembolism is uncommon in Nigeria and black Africans. This myth is being propagated by poorly equipped health care systems, not actively on the lookout for possible cases, and most are ill-prepared to fully investigate suspected cases (4). In Africa, many patients who die from pulmonary thromboembolism were misdiagnosed premortem, a shortcoming related to the variability in clinical presentation, 46 inexperienced clinicians, inaccurate risk assessment, and lack of access to computer tomography scans (5).…”

Section: Introductionmentioning

confidence: 99%

“…However, it is universally accepted that the gold standard for diagnosing PE is CTPA (Computerize Tomography scan with Pulmonary Angiography). It has high sensitivity and specificity PE (1,2,4,7). In a private tertiary health institution in Ogun State, Nigeria, 29 cases of Pulmonary embolism confirmed with Computer Tomography Pulmonary Angiography (CTPA) were seen between July 2018 and June 2020.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Is Pulmonary Thromboembolism uncommon in Nigeria? A case series in a private tertiary hospital in Ogun State, Nigeria.

Ogunkoya

Oluwole²,

Daniel³

et al. 2020

BUMJ

View full text Add to dashboard Cite

Background: Pulmonary thromboembolism is total or partial obstruction of one or more divisions of pulmonary arterial vasculature. It is a common disease presentation that is well studied and documented in the United States of America and Western Europe. It is often the result of part of a thrombotic lesion in deep veins (Deep Vein Thrombosis) elsewhere in the body most commonly the lower limbs and the pelvic region. There are few documented cases in Nigeria and sub-Saharan Africa as a result of poorly equipped hospitals and poorly trained health care personnel. Case presentation: Twenty-Nine (29) cases were seen in a Private Tertiary institution in Ogun State, Nigeria. Computerized Tomography with Pulmonary Angiography had helped to confirm these cases, with prompt intervention thereby reducing morbidity and mortality significantly. Only 3(three) mortality was recorded out of 29 cases seen between July 2016 and June 2020. Discussion and conclusion: Pulmonary thromboembolism is not uncommon in Nigerians and black Africans as available data previously suggested. All hands must be on deck to identify potential cases and investigate at-risk individuals who have clinical symptoms that are often misdiagnosed as other disease entities.

show abstract

Section: Figures 7 and 8: The Chest Ctpa For The Patient In Case 5 DIsupporting

confidence: 88%

Section: Figures 7 and 8: The Chest Ctpa For The Patient In Case 5 DIsupporting

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is Pulmonary Thromboembolism uncommon in Nigeria? A case series in a private tertiary hospital in Ogun State, Nigeria.

Ogunkoya

Oluwole²,

Daniel³

et al. 2020

BUMJ

View full text Add to dashboard Cite

show abstract

“…Recent studies on the continent have reported more cases, but the limited resources, especially the access to CTA, still contribute to the reduced number of PE cases reported[16] [17][18] [19] …”

mentioning

confidence: 99%

Epidemiology, Clinical and Paraclinical Presentations of Pulmonary Embolism: A Cross-Sectional Study in a Sub-Saharan Africa Setting

Ngahane¹,

Kamdem²,

Njonnou³

et al. 2019

OJRD

View full text Add to dashboard Cite

Background: Venous thromboembolic (VTE) disease burden is increasing worldwide, representing a major cause of cardiovascular death and public health problem. Pulmonary embolism (PE) is the most serious clinical presentation of VTE. Epidemiological and clinical data on PE are still lacking in Africa, particularly in Cameroon. This study aimed at determining the clinical features as well as imaging presentation and outcome of pulmonary embolism. Methods: A cross-sectional study was carried out in three hospitals in Douala. We retrospectively reviewed patient records admitted for PE from January 2009 to May 2017. We collected data on epidemiology, clinical presentation, venous Doppler/pulmonary computed tomographic angiography (CTA), and outcome. Results: We included 103 patients (56 males) with PE. Their median age was 52 years. The main risk factors were obesity (49.5%), hypertension (35.0%), long trip (24.3%) and cancer (18.4%). The most frequent clinical presentations were dyspnoea (83.4%), chest pain (78.6%), and cough (40.8%). Additionally, pleural effusion (32.8%), atelectasis (25.7%) and pulmonary hyperlucency (20.0%) were the most frequent findings on chest X-ray. The main abnormalities found in electrocardiogram were sinus tachycardia (63.4%), S1Q3T3 aspect (37.6%) and right axial deviation (28.7%). Moreover, right cavities dilatation (26.

show abstract

Acute Pulmonary Thromboembolism: A Retrospective Study in a Nigerian Private Tertiary Hospital

Ogunkoya¹,

Oluwole²,

Adefuye³

et al. 2021

Ann Health Res

View full text Add to dashboard Cite

Background: Pulmonary embolism (PE) is a disease associated with high morbidity and mortality in the more technically advanced western world. However, in Africa and Nigeria in particular, the burden of PE is largely poorly defined as few data are available. Objectives: To characterize the clinical profile, management and outcomes in PE patients confirmed with Computerized Tomography Pulmonary Angiography (CTPA). Methods: A retrospective study was conducted at Babcock University Teaching Hospital, Ilishan-Remo, Nigeria. The medical records of PE patients confirmed by CTPA and admitted to the intensive care unit of the hospital spanning July 2016 to June 2020 were retrieved for analysis. Results: Thirty-one patients with the age range of 26 to 93 years were included and the mean age was 55.5±18.5 years. Breathlessness was the most prevalent presenting symptom. In the majority of patients (48.4%), the risk factors were not known. However, the most common risk factor and co-morbidity was pregnancy (16.1%). The in-hospital mortality rate was 9.7%. Conclusion: The clinical characteristics of PE in this cohort were similar to those described in the literature. The high mortality rate in this study also underscores the need for large population studies in black Africans.

show abstract

Clinical profile, management and outcomes of patients with pulmonary embolism: a retrospective tertiary centre study in Angola

Cited by 7 publications

References 29 publications

Is Pulmonary Thromboembolism uncommon in Nigeria? A case series in a private tertiary hospital in Ogun State, Nigeria.

Is Pulmonary Thromboembolism uncommon in Nigeria? A case series in a private tertiary hospital in Ogun State, Nigeria.

Epidemiology, Clinical and Paraclinical Presentations of Pulmonary Embolism: A Cross-Sectional Study in a Sub-Saharan Africa Setting

Acute Pulmonary Thromboembolism: A Retrospective Study in a Nigerian Private Tertiary Hospital

Contact Info

Product

Resources

About