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• W1529367043 abstract "The chapter aims at presenting a practically orientated surveyof major problems of a clinical picture and therapeuticpitfalls in pulmonary embolism (PE) affected patients from thepoint of view of a geriatrician. Growing number of PE people ofadvanced age and considerably small awareness of this fact inwider medical public makes this chapter highly significant.Pulmonary embolism (PE) in the elderly represents immediatethreat of life. Especially in old age clinical signs of PE arenon-specific and could be both underdiagnosed andoverdiagnosed. The high occurrence of PE (particularly itssilent form) is of crucial importance in the elderly mortality.Our recommendations would like to emphasize the need of nounderestimation of this fact and to carry out preventivemeasures in all age groups (including “oldest old” and frailpersons. Thrombembolism is the most common cause of death, anda major cause of morbidity, in later life. Like cardiac andarterial thrombembolism, the incidence of venous thrombembolismincreases exponentially with age. Since the inpatient mortalityin general hospitals is about 10%, it is estimated that about1% of patients admitted to the hospital die of PE. However, forevery patient who dies of PE in a surgical ward, three die innonsurgical wards. In the great majority of patients dying ofPE, previous venous thrombembolism was not diagnosed ortreated. DVT (deep venous thrombosis) is often nonocclusive andhence clinically silent prior to embolization; while nonfatalPE occurring prior to the fatal one may not be recognizedclinically, especially in older patients who frequently havecardiorespiratory symptoms, such as a heart failure or chronicobstructive airways disease. Prophylaxis against PE is ofparamount importance because venous thromboembolism isdifficult to detect and poses an excessive medical and economicburden. Mechanical and pharmacologic measures often succeed inpreventing this complication. The hypothesis that thecombination of immobility and coagulation activationpredisposes to DVT formation is supported by the prophylacticefficacy of both mechanical measures which increase leg veinblood flow, and antithrombotic drugs especially anticoagulants.We would like to emphasize the need of permanent thinking ofthe possibility of PE in elderly persons with present riskfactors and also the requirement of correctly assesseddiagnoses and the start of therapeutic procedures as soon aspossible." @default.
• W1529367043 created "2016-06-24" @default.
• W1529367043 creator A5048665906 @default.
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• W1529367043 date "2012-03-14" @default.
• W1529367043 modified "2023-09-26" @default.
• W1529367043 title "Pulmonary Embolism in the Elderly - Significance and Particularities" @default.
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• W1529367043 doi "https://doi.org/10.5772/31738" @default.
• W1529367043 hasPublicationYear "2012" @default.
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