What are 3 types of pulmonary embolisms?
Based on location of the clot into pulmonary artery following terms are used A) saddle PE (large clot into main pulmonary artery), B) lobar PE (into big branch of pulmonary artery), or C) distal PE (into small branches of pulmonary artery).
What is the difference between massive and Submassive PE?
Massive pulmonary embolism has a high mortality rate despite advances in diagnosis and therapy. A subgroup of patients with nonmassive PE who are hemodynamically stable but with right ventricular (RV) dysfunction or hypokinesis confirmed by echocardiography is classified as submassive PE.
What is massive PE?
Massive pulmonary embolism is defined as obstruction of the pulmonary arterial tree that exceeds 50% of the cross-sectional area, causing acute and severe cardiopulmonary failure from right ventricular overload.
What is the most common source of a PE?
Pulmonary embolism occurs when a clump of material, most often a blood clot, gets wedged into an artery in your lungs. These blood clots most commonly come from the deep veins of your legs, a condition known as deep vein thrombosis (DVT).
Why is it called a saddle PE?
Saddle PE is when a large blood clot (thrombus) gets stuck where the main pulmonary artery branches off into a Y-shape to go into each lung. The name refers to the fact that the clot “saddles” on top of both branch arteries. Saddle PEs are rare — they make up only about 2 to 5 percent of all PE cases.
What is the pathophysiology of PE?
Pathophysiology of Pulmonary Embolism
Once deep venous thrombosis develops, clots may dislodge and travel through the venous system and the right side of the heart to lodge in the pulmonary arteries, where they partially or completely occlude one or more vessels.
Is PE a cardiovascular disease?
After coronary artery disease and stroke, acute PE ranks third among the most common types of cardiovascular diseases.
What is Submassive saddle PE?
2 Submassive PE is defined by evidence of right ventricular dysfunction with hemodynamic stability. 2 Although massive PEs are rare and comprise only about 2–5% of all PEs,3–5 they are crucially important because they carry a 52.4% 90-day mortality rate.
What is Submassive?
(sŭb″mas′iv) [ sub- + massive] Medical jargon for very severe or injurious but not immediately life-threatening conditions. It is applied to diseases such as liver necrosis (without fulminant hepatic failure) or pulmonary embolism (without unstable hemodynamics).
How do you treat a Submassive PE?
One of the main treatments for submassive PE is anticoagulant therapy. Anticoagulant drugs are also called blood thinners. These drugs interfere with proteins that are important for clotting. Heparin is an example of an anticoagulant drug that doctors may use to treat submassive PE.
What is example of submissive?
allowing yourself to be controlled by other people or animals: He was looking for a quiet, submissive wife who would obey his every word. In the presence of older birds, the younger eagles tend to be submissive. They do not necessarily have to be submissive to the President.
What is a Bova score?
The Bova Score risk stratifies normotensive patients with confirmed PE to identify patients at intermediate and high risk for complications and mortality associated with PE.
What is marriage submissive?
It means humbly sharing your opinion with him. It means not invalidating him, especially in front of others. It means trusting his decision as a leader, while feeling empowered to give your own point of view.
How do I submit to my boyfriend?
How to Submit to Your Husband
- Let Him Take the Lead. …
- Ask Him for His Opinion. …
- Think of His Needs. …
- Try Not to Criticize Him or Speak Negatively of Him. …
- Be Intimate Frequently. …
- Talk to Him About the Changes in Your Marriage. …
- Don’t Accept Abusive Behavior.