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Pulmonary embolism

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Clinical features

Ask about
  • smoking a
  • hypertension a
  • obesity (BMI > 29) a

Why?

  • These are all increase the risk of having a pulmonary embolism a


Obesity, heavy smoking and hypertension increase the risk of having a pulmonary embolism

Patient Prognostic Factor Outcome CER RR
(95% CI)
NNF+
(95% CI)
healthy a BMI >29.0
independent
pulmonary embolism
at 16 years
0.22% 3.0
(2.0 to 4.7)
150
(100 to 270)
  25-34 cigarettes /day
independent
  0.26% 1.8
(1.2 to 2.9)
210
(130 to 320)
  35 or more cigarettes /day
independent
  0.26% 2.1
(1.2 to 3.6)
180
(110 to 320)
  hypertension
independent
  0.23% 1.5
(1.2 to 2.0)
290
(220 to 370)

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   B   Lee
CAT Writers   CM   Ball, C Wotton, M Hayatli