Difficulties in diagnosing pulmonary embolism in the obese patient: A literature review
Several of the signs and symptoms of pulmonary embolism, such as dyspnea, tachypnea, and tachycardia, are common in the obese population, so these patients are frequently suspected of having a pulmonary embolism. Establishing an accurate diagnosis in this situation is often difficult. We performed a...
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| Veröffentlicht in: | Vascular medicine (London, England) England), 2011-12, Vol.16 (6), p.444-451 |
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| creator | Hawley, Philip C Hawley, Miles P |
| description | Several of the signs and symptoms of pulmonary embolism, such as dyspnea, tachypnea, and tachycardia, are common in the obese population, so these patients are frequently suspected of having a pulmonary embolism. Establishing an accurate diagnosis in this situation is often difficult. We performed a review of the literature examining the difficulty of diagnosing pulmonary embolism in obese patients. Several factors compromise the ability of clinicians to accurately diagnose pulmonary embolism in obese patients. When patients weigh over 350 lbs (159 kg), thoracic imaging often cannot be performed because of the weight limitations of the scanning equipment. If equipment is available that can scan these patients, image quality is often poor. The literature that is available to guide the clinician in this difficult clinical scenario is sparse. Access to radiology equipment that can image morbidly obese patients is improving, but questions about image quality remain. Further research on both imaging and outcomes is needed. |
| doi_str_mv | 10.1177/1358863X11422571 |
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Establishing an accurate diagnosis in this situation is often difficult. We performed a review of the literature examining the difficulty of diagnosing pulmonary embolism in obese patients. Several factors compromise the ability of clinicians to accurately diagnose pulmonary embolism in obese patients. When patients weigh over 350 lbs (159 kg), thoracic imaging often cannot be performed because of the weight limitations of the scanning equipment. If equipment is available that can scan these patients, image quality is often poor. The literature that is available to guide the clinician in this difficult clinical scenario is sparse. Access to radiology equipment that can image morbidly obese patients is improving, but questions about image quality remain. Further research on both imaging and outcomes is needed.</description><identifier>ISSN: 1358-863X</identifier><identifier>EISSN: 1477-0377</identifier><identifier>DOI: 10.1177/1358863X11422571</identifier><identifier>PMID: 22025526</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Angiography ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Contraindications ; Diagnosis, Differential ; Diagnostic Imaging ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Dyspnea - diagnosis ; Dyspnea - physiopathology ; Female ; Humans ; Literature reviews ; Male ; Medical sciences ; Obesity - complications ; Obesity - diagnosis ; Obesity - physiopathology ; Pneumology ; Pulmonary Embolism - complications ; Pulmonary Embolism - diagnosis ; Pulmonary Embolism - physiopathology ; Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases ; Tachycardia - diagnosis ; Tachycardia - physiopathology ; Tachypnea - diagnosis ; Tachypnea - physiopathology ; Tomography, X-Ray Computed</subject><ispartof>Vascular medicine (London, England), 2011-12, Vol.16 (6), p.444-451</ispartof><rights>SAGE Publications 2011</rights><rights>2015 INIST-CNRS</rights><rights>SAGE Publications © Dec 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c515t-ac30f6f70c69aecc66ed23f3ec62196160ed616bb44e930d9069ff6189b673f53</citedby><cites>FETCH-LOGICAL-c515t-ac30f6f70c69aecc66ed23f3ec62196160ed616bb44e930d9069ff6189b673f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1358863X11422571$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1358863X11422571$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25261699$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22025526$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hawley, Philip C</creatorcontrib><creatorcontrib>Hawley, Miles P</creatorcontrib><title>Difficulties in diagnosing pulmonary embolism in the obese patient: A literature review</title><title>Vascular medicine (London, England)</title><addtitle>Vasc Med</addtitle><description>Several of the signs and symptoms of pulmonary embolism, such as dyspnea, tachypnea, and tachycardia, are common in the obese population, so these patients are frequently suspected of having a pulmonary embolism. 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Vascular system</subject><subject>Contraindications</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Imaging</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Dyspnea - diagnosis</subject><subject>Dyspnea - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Obesity - complications</subject><subject>Obesity - diagnosis</subject><subject>Obesity - physiopathology</subject><subject>Pneumology</subject><subject>Pulmonary Embolism - complications</subject><subject>Pulmonary Embolism - diagnosis</subject><subject>Pulmonary Embolism - physiopathology</subject><subject>Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases</subject><subject>Tachycardia - diagnosis</subject><subject>Tachycardia - physiopathology</subject><subject>Tachypnea - diagnosis</subject><subject>Tachypnea - physiopathology</subject><subject>Tomography, X-Ray Computed</subject><issn>1358-863X</issn><issn>1477-0377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp90clLJDEUB-Agitt49yRBEL2Uk6XqpeJNXAcELzPorUilXtpILW1SNeJ_P2m6HUHQSxLI935ZHiH7nJ1yrtRPLouyBPnIeS5Eofga2ea5UhmTSq2nddrOFvtbZCfGZ8aYAs03yZYQTBSFgG3ycOmd83ZqR4-R-p423sz6Ifp-RudT2w29CW8Uu3pofewWYHxCOtQYkc5NKurHM3pOWz9iMOMUkAb86_H1B9lwpo24t5p3yZ_rq98Xt9nd_c2vi_O7zBa8GDNjJXPgFLOgDVoLgI2QTqIFwTVwYNiksa7zHLVkjWagnQNe6hqUdIXcJcfL3HkYXiaMY9X5aLFtTY_DFCvNFM-B5SrJk29lylSyFJLliR5-os_DFPr0jkWeyAGKMiG2RDYMMQZ01Tz4Lv1WxVm16E71uTup5GCVO9UdNv8L3tuRwNEKmGhN64LprY8fLhkOWieXLV00M_y43JcH_wMK6aNG</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Hawley, Philip C</creator><creator>Hawley, Miles P</creator><general>SAGE Publications</general><general>Arnold</general><general>Sage Publications Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>20111201</creationdate><title>Difficulties in diagnosing pulmonary embolism in the obese patient: A literature review</title><author>Hawley, Philip C ; Hawley, Miles P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-ac30f6f70c69aecc66ed23f3ec62196160ed616bb44e930d9069ff6189b673f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Angiography</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Contraindications</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic Imaging</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Dyspnea - diagnosis</topic><topic>Dyspnea - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Literature reviews</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Obesity - complications</topic><topic>Obesity - diagnosis</topic><topic>Obesity - physiopathology</topic><topic>Pneumology</topic><topic>Pulmonary Embolism - complications</topic><topic>Pulmonary Embolism - diagnosis</topic><topic>Pulmonary Embolism - physiopathology</topic><topic>Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. 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| subjects | Angiography Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Contraindications Diagnosis, Differential Diagnostic Imaging Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Dyspnea - diagnosis Dyspnea - physiopathology Female Humans Literature reviews Male Medical sciences Obesity - complications Obesity - diagnosis Obesity - physiopathology Pneumology Pulmonary Embolism - complications Pulmonary Embolism - diagnosis Pulmonary Embolism - physiopathology Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases Tachycardia - diagnosis Tachycardia - physiopathology Tachypnea - diagnosis Tachypnea - physiopathology Tomography, X-Ray Computed |
| title | Difficulties in diagnosing pulmonary embolism in the obese patient: A literature review |
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