Pulmonary embolism in stroke patients: autopsy result study
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2021-11-14 17:29
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GROSU, Oxana, BĂITOI, Silvia. Pulmonary embolism in stroke patients: autopsy result study. In: International Journal of Stroke, 2021, nr. 2S(16), p. 128. ISSN 1747-4930.
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International Journal of Stroke
Numărul 2S(16) / 2021 / ISSN 1747-4930 /ISSNe 1747-4949

Pulmonary embolism in stroke patients: autopsy result study


Pag. 128-128

Grosu Oxana, Băitoi Silvia
 
Diomid Gherman Institute of Neurology and Neurosurgery
 
Proiecte:
 
Disponibil în IBN: 13 noiembrie 2021


Rezumat

Background and Aims: Pulmonary embolism is a major contributor to in-hospital mortality after stroke and accounts for up to 50% of early deaths. The clinical picture could be unremarkable so the complication is not recognized in due time. The aim of the study was to analyze the missed cases of pulmonary embolism after stroke. Methods: A retrospective analysis of autopsy protocols from 2017 till 2020 was performed and 13 cases of thromboembolism missed in the clinic but identified at necropsy were selected. Results: The study sample consists of 5 men (38.5%) and 8 women (61.5%) aged 47–83 years. All were confirmed by CT as ischemic in 6 pts (46.8%), hemorrhagic in 4 pts (30.1%) 1 patient underwent surgery (7.69%), hemorrhagic transformation - 3 pts (23.1%), first event - 11 pts (84.61%) and 2 pts (15.4%) with recurrent stroke. Major cardiovascular risk factors were hypertension - 2 pts (92.3%), obesity - 8 pts (61.5%), diabetes mellitus - 5 pts (38.46%), atrial fibrillation - 5 pts (38.46%), 1 patient (7.69%) with thrombosis in other areas. Autopsy results indicate pulmonary embolism as the direct cause of death in all patients but just 2 (15.38%) pts presented suggestive clinical signs. Conclusions: Patients with stroke are at higher risk of a pulmonary embolism due to bed rest, limb paralysis, and predisposing risk factors but just a small number of patients a recognized timely to act that’s why it is important to establish strict protocols and high awareness.