Chest
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Lippmann, M
Right arrow Articles by Fein, A
Right arrow Search for Related Content
PubMed
Right arrow Articles by Lippmann, M
Right arrow Articles by Fein, A

Chest, Vol 79, 39-42, Copyright © 1981 by American College of Chest Physicians

ARTICLES

Pulmonary embolism in the patient with chronic obstructive pulmonary disease. A diagnostic dilemma

M Lippmann and A Fein

It is often difficult to distinguish pulmonary embolism from worsening underlying disease in the setting of severe chronic obstructive lung disease. We describe three patients with severe COPD and angiographically documented pulmonary embolus to stress that standard clinical and radioisotopic studies were of little value in establishing a diagnosis. All patients had acute increases in alveolar ventilation immediately following the embolus with a reduction in previously elevated levels of PaCO2, as well as hypoxemia. Such changes in arterial blood gases in the patient with severe COPD should suggest pulmonary embolus rather than increased obstruction.


This article has been cited by other articles:


Home page
 ANN INTERN MEDHome page
I. Tillie-Leblond, C.-H. Marquette, T. Perez, A. Scherpereel, C. Zanetti, A.-B. Tonnel, and M. Remy-Jardin
Pulmonary embolism in patients with unexplained exacerbation of chronic obstructive pulmonary disease: prevalence and risk factors.
Ann Intern Med, March 21, 2006; 144(6): 390 - 396.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
K. E. Wood
Major Pulmonary Embolism : Review of a Pathophysiologic Approach to the Golden Hour of Hemodynamically Significant Pulmonary Embolism
Chest, March 1, 2002; 121(3): 877 - 905.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Respir. Crit. Care Med.Home page
I. J. C. HARTMANN, P. J. HAGEN, C. F. MELISSANT, P. E. POSTMUS, and M. H. PRINS
Diagnosing Acute Pulmonary Embolism . Effect of Chronic Obstructive Pulmonary Disease on the Performance of D-dimer Testing, Ventilation/Perfusion Scintigraphy, Spiral Computed Tomographic Angiography, and Conventional Angiography
Am. J. Respir. Crit. Care Med., December 1, 2000; 162(6): 2232 - 2237.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1981 by the American College of Chest Physicians.