Key Takeaways
- The annual incidence of pulmonary embolism (PE) in the general population is approximately 115-269 cases per 100,000 person-years
- In the United States, PE affects over 900,000 individuals annually with around 300,000 deaths
- The incidence of PE increases exponentially with age, reaching 900-1,200 per 100,000 in those over 80 years old
- Major surgery increases PE risk 20-fold
- Immobility for >3 days raises PE odds ratio to 3.4 (95% CI 2.5-4.7)
- Oral contraceptive use increases VTE risk 3-6 fold
- Dyspnea is present in 73-80% of PE patients at presentation
- Chest pain occurs in 49-66% of acute PE cases
- Hemoptysis reported in 13-30% of PE patients
- LMWH anticoagulation reduces recurrence by 70% vs placebo
- DOACs (apixaban) non-inferior to warfarin, recurrence 1.9% vs 2.3%
- Thrombolysis in massive PE reduces mortality 9% vs 19% heparin
- 30-day all-cause mortality for PE is 8.8-15%
- Untreated PE mortality approaches 30% within 2 weeks
- Massive PE 90-day mortality 25-65%
Pulmonary embolism is a highly prevalent and often fatal cardiovascular condition worldwide.
Clinical Presentation and Diagnosis
Clinical Presentation and Diagnosis Interpretation
Epidemiology
Epidemiology Interpretation
Prognosis and Outcomes
Prognosis and Outcomes Interpretation
Risk Factors
Risk Factors Interpretation
Treatment
Treatment Interpretation
Sources & References
- Reference 1UPTODATEuptodate.comVisit source
- Reference 2CDCcdc.govVisit source
- Reference 3NEJMnejm.orgVisit source
- Reference 4WHOwho.intVisit source
- Reference 5ATSJOURNALSatsjournals.orgVisit source
- Reference 6PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 7ACOGacog.orgVisit source
- Reference 8ASCOPUBSascopubs.orgVisit source
- Reference 9THELANCETthelancet.comVisit source
- Reference 10ACADEMICacademic.oup.comVisit source
- Reference 11ERJerj.ersjournals.comVisit source
- Reference 12THROMBOSISRESEARCHthrombosisresearch.comVisit source
- Reference 13JOURNALSjournals.lww.comVisit source
- Reference 14CCFORUMccforum.biomedcentral.comVisit source
- Reference 15AHAJOURNALSahajournals.orgVisit source
- Reference 16JPEDSjpeds.comVisit source
- Reference 17JAMANETWORKjamanetwork.comVisit source
- Reference 18NCBIncbi.nlm.nih.govVisit source
- Reference 19JVASCSURGjvascsurg.orgVisit source
- Reference 20CHESTNETchestnet.orgVisit source
- Reference 21COCHRANEcochrane.orgVisit source
- Reference 22BMJbmj.comVisit source
- Reference 23BLOODJOURNALbloodjournal.hematologylibrary.orgVisit source
- Reference 24KIDNEY-INTERNATIONALkidney-international.comVisit source
- Reference 25GUTgut.bmj.comVisit source
- Reference 26ASHPUBLICATIONSashpublications.orgVisit source
- Reference 27ARDard.bmj.comVisit source
- Reference 28CIRCcirc.ahajournals.orgVisit source
- Reference 29CMAJcmaj.caVisit source
- Reference 30ACPJOURNALSacpjournals.orgVisit source
- Reference 31PUBSpubs.rsna.orgVisit source
- Reference 32THORACICthoracic.orgVisit source
- Reference 33ESCARDIOescardio.orgVisit source
- Reference 34ANNALSOFONCOLOGYannalsofoncology.orgVisit source
- Reference 35RADIOLOGYradiology.rsna.orgVisit source
- Reference 36AJRONLINEajronline.orgVisit source
- Reference 37JTCVSjtcvs.orgVisit source
- Reference 38CIRCINTERVENTIONScircinterventions.ahajournals.orgVisit source
- Reference 39ANNALSOFTHORACICSURGERYannalsofthoracicsurgery.orgVisit source
- Reference 40AJHPajhp.orgVisit source
- Reference 41CHESTJOURNALchestjournal.chestnet.orgVisit source
- Reference 42EURHEARTJeurheartj.oxfordjournals.orgVisit source
- Reference 43THORAXthorax.bmj.comVisit source






