Essential Questions to Ask Your Doctor About Pulmonary Embolism: A Complete Guide
A pulmonary embolism occurs when a blood clot blocks an artery in your lungs, creating a potentially life-threatening condition. Understanding its causes, risks, and treatments is crucial for prevention and management.
Woman experiencing chest pain from embolism
Causes and Relationship with DVT:
- Most commonly caused by blood clots, though occasionally by tumor cells, air bubbles, or fat
- Often starts as Deep Vein Thrombosis (DVT) in legs or arms
- When a DVT clot breaks off and travels to lungs, it becomes a pulmonary embolism
Prevalence and Risk:
- Affects approximately 900,000 Americans annually
- 100,000 deaths per year from blood clots
- 1 in 4 pulmonary embolism patients die without warning
- COVID-19 increases risk for up to 6 months after infection
Risk Factors:
- Age over 40
- Previous DVT or pulmonary embolism
- Obesity
- Heart conditions
- Extended periods of immobility
- Recent surgery or trauma
- Cancer
- Pregnancy
- Oral contraceptive use
Prevention:
- Blood thinners when recommended
- Regular movement during long trips
- Compression stockings
- Early mobilization after surgery
- Regular medical follow-ups
Symptoms:
- Shortness of breath
- Chest pain
- Possible fever
- Coughing up blood
- Dizziness
- Heart palpitations
- Note: Sometimes symptoms are mild or absent
Treatment:
- Average cost: $30,000 per incident
- Anticoagulant medications
- Thrombolytic therapy
- Possible hospitalization
- Duration varies based on cause and risk factors
- New treatments include improved blood thinners and thrombectomy procedures
Recovery and Recurrence:
- 33% chance of recurrence within 10 years
- Recovery can take several months
- Some patients may develop pulmonary hypertension
- Ongoing symptoms require medical attention
Seeking immediate medical care when symptoms appear is crucial for survival and successful treatment. Regular follow-up with healthcare providers helps manage ongoing risks and ensures proper recovery.