what was his heart rate and blood pressure when seeing the initial dr? I was started on IV Heparin for 2.5 days the switched to PO 15mg Xarelto at a.m. and afternoon and 20mg Xarelto at h.s. One of the ladies hit me in the chest very hard, and I came to. My TMAO is now 6, Im walking 4 miles every other day and physically feel good mentally Im like a Zombie. I suggest you have a discussion to clarify the exact risk with his primary care physician. Firstly, sorry for your loss. She is now on O2, Level 2. Blood thinning medicine is the center of treatment and strategies will revolve around that. was diagnosed with massive saddle pulmonary embolism 8 months ago.Still unable to participate in previous activities (hiking, biking swimming etc.) Long term recovery from the PE itself is often good, close follow up and surveillance is necessary. My father was admitted to the hospital to ight with PE and strain on the right side of the hear that was visible from the CT scan the hospital performed. A further scan showed no bleed on the brain and that the medication was working. I wear compression stockings most days, take moderate exercise (about 5000 steps per day) and sit with elevated feet when possible. The main doctor came to us and said she is stabilized but critical because she doesn’t have only one clot but multiple small once all over the place. Depends on many factors including the urgency of the surgery and the size and effect of the clots. All rights reserved. Warfarin – This is the longest standing medication used for blood thinning. Apparently in many cases the diagnosis occurs when the patient shows up dead or dying in the hospital. You can do just fine. Your blood may checked to see how long it takes to clot. Part of the work up for phlebitis is ultrasound of the legs looking for clot. An operation sorted that out and I stopped this drug in Dec 2017. I’m being treated for a saddle embolism across my lungs with Pradaxa. I was just diagnosed with multiple clots in both of my lungs I’m on xaelto now my question is how and when do I find out if the clots are gone and will they eventually marry be maybe to the heart? How was the pulmonary embolism diagnosed? The blood thinning medication is now key. It has been almost six years since my pes now I have been discharged from the pulmonary doctor I had a echo done while I was still pregnant and she said it was fine. I was admitted to the ICU and was given TPA and heparin. I would recommend you discuss these issues with your primary physician to ensure physical exam is not concerning. Hi Dr. Mustafa Ahmed, For PE the evidence for DOA is excellent and are now essentially the preferred treatment in the current era. she was cleared to go ahead. I know it takes time for the clot to dissolve but am concerned about his fatigue. It is often referred to simply as PE, which of course is short for pulmonary embolism. In December, I was diagnosed with a multiple clot burden, a DVT in my upper right calf and after being misdiagnosed 2 x I continued to work out thinking I just had a bad cold later Bronchitis. Second time, my leg began to swell in different areas and i was in pain, i had a deep vein scan and blood work done but it came back clear. I can get a scan done privately but I am wondering if it would be worth it, because perhaps it’s too soon to determine if any shrinkage of the clot has occurred? This seems to be a surprising recovery, especially after reading you very informative article. I would be most grateful if you could give me a general comment about Direct Acting Oral Anticoagulants. Unless she is truly unstable from the clot, it may be best to treat it conservatively. The only medication he has been given is Apixiban. Thank you for this great explanation of PE. The blood is pumped with force and the flow in these arteries is fast. I even had lung capacity test done. 6 weeks later I saw the cardiologist who told me that my ekg show a left branch block but that it wasn’t that serious. I really had no idea this was common. She had suffered with phlebitis in the summer. In general although there is a theoretical risk of clot breaking off, the standard treatment once past the initial phase of PE is blood thinner. Actually I dont know what you mean by cardiac rehabilitation program. Now in Stage 6/7 of Alzheimer’s, she cannot speak for herself & my brother & I, as medical powers of attorney, must decide her level of care. I tell the doc I feel like an idiot for wasting their time, but he said PEs are nothing to mess with and to never put my life ahead of feeling like I’m wasting their time. Thank you. I was in the hospital for a few days (admitted Saturday, released Monday). Heart disease and heart attacks run on my dads side of the family. I recently returned to work but I am having a hard time keeping up. Im sorry to hear about your daughter. I got the pes 2 weeks after getting out of the psych hospital. This material must not be used for commercial purposes, or in any hospital or medical facility. proximal left popliteal vein. More good news 3 clots in Right lung are gone!! Keep positive. Because I am in very good shape physically my Doctors always thought I had a virus. I fell July 2016 and injured my left knee ultimately ending up with reduction of activity and partial bedrest, hospitalization for cellulitis in the affected leg and septicemia with extended IV antibiotics and PICC line at home. no lights on. How do you get Factor 8? Any answers would be appreciated, for the possibility of it being PE is causing immense anxiety on its own. Its good that you right heart isn’t showing strain. These feelings make me a bit concerned. But, anyway’s, The Doctors, Nurses, Nurses Aides, at St. James Healthcare in Butte, Montana, Were All, EXCELLENT. I continue to improve, tho recovering my breathing is slow, which led me to find your site. No heart strain, low clot burden, stable vitals etc. WHAT YOU NEED TO KNOW: What is a pulmonary embolism (PE)? I am 43 and a long distance runner. Patients may have had recent leg swelling or leg pain from the clot that started in the leg. Not sure if this is still there – it’s difficult to notice I guess. This led the pulmonologist to prescribe an echocardiogram. Would like to hear what your opinion is on how long it takes to feel better. Use of blood thinners now may be dangerous if it is soon after surgery. I had DVT about 2years ago and am on Factor Xa inhibitor. Hi Karen; I had multiple bi-lateral PEs in September 2012, followed by a clot in my r iliac vein and then two more DVTs in September 2014. I can’t even swing on a swing with my daughter with out being normal. Also I was on OCP. Hi Dr Lastly, when and if I come off blood thinner, can I just take one or two aspirins per day since this is the first and hopefully last time I have had one of these? My question is: After the clots “land and settle” in the lungs, is there still risk of them breaking off and moving again? Thank you. After much research we’ve discovered that a gut metabolite called TMAO caused blood hypercoagubility. The right side of the heart will be severely dysfunctional and it will be difficult to maintain a blood pressure. Interesting questions and should be addressed on a case by case basis, without knowing a lot more about your case its hard to comment. What was strange is both my chest xrays and CT scan did not dectect any PE. My mother had no pain in the area of the surgery and where the stitches are but she complained about pain behind the knee and above the knee (front and back of leg). I have a history of DVT and UDT from injuries, I believe. Regardless the treatment would be the same as you have now most likely, that is blood thinner. That would be almost a perfect storm. Recovery is slow have permanent kidney damage and upper body pain. Results were: Legs clear, no evidence for residual or recurrent DVT. Ascending Aorta was upper limits of normal in size. I welcome your thoughts and will of course discuss the same w/pulmonologist next month. To stop the feeling, I will turn over and lay on my left side. 2-3 weeks stayed in bed or chair screaming from pain. Both times the clots were small, around 80 the first time and this time the doctor wouldn’t say. Can you please help me at this? This is known as right ventricular dysfunction. Is there a reason why the vq and not a CT scan is being performed? Disclaimer. Salam, You need to go and see a doctor when you can. Such decisions are made on a case by case basis taking many factors in to account. Was the HRT coincidental and not causative the first time? If the PE was relatively small and there was a clear provoking measure that is resolved then at least 3 months of anticoagulation is advised. Sitemap. We just talked about the triad that consists of blood more likely to clot, slow flow, and injury to the vein. Flow in the veins is much slower with a much lower pressure. Does the Ekos procedure damage the lung tissue? After the procedure, i’m suffering from numbness & tightness in my chest area and back pain from 6 months. Development of certain conditions can also predispose to clot development and therefore development of a pulmonary embolism. Could pe be a reason for Sob??? 5. She refused the cholesterol medication. Am home now taking warfarin. Discharged on day 5 and echo showed pressure down to 40. The clot in the lung most likely started in the leg and then travelled up to the lung and so wasn’t identified when they scanned the legs. On October 24th she had the knee replacement done. A pulmonary embolism (PE) is the sudden blockage of a blood vessel in the lungs by an embolus. Air embolism is one of the leading causes of death in the diving community. To be designated a submassive pulmonary embolism, there has to be evidence of right-sided heart dysfunction. I have been diagnosed with extensive blood clots in both lungs last week but think I’ve had for at least a month. It is my understanding that after 90 day treatment with Eliquis, the average result is for 73% of clots to be gone. I was immediately started on Heparin via IV and now on Eliquis. Iam 32 and on 14/7/17 and 15/7/17 i was rushed to the ER for shortness of breath, chest pain and numbness in my arms. i had the same problem with coumadin (wayfarin) and i transitioned over to xarelto and did so much better. With regards to the blood thinner, contemporary management allows somewhat of an individualized approach to treatment. Other responses have said death could take a few days. I am concerned. I will have to be on blood thinner from now on. Doesn’t it? 3 miles a few times a week. Yes, the right sided function of the heart normalized also according to the echo four weeks after the event. My questions are, I suspect some of my clots are old and have read that they may be difficult or impossible to dissolve. Hi tests done were VQ scan over 2 days, first i had to be injected with something then next day was breathing stuff in. The fact that here pressure went down is good I think but I think her age makes recovery slower for her. Also, don’t get too down on yourself. These specimens are clot that have been surgically removed from the lung arteries in a patient with massive pulmonary embolism. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. On 7/01 I woke with bad calf pain in injured leg went to ER. Does left ventricle dysfunction have a different outcome and is it less serious? I was treated in the hospital with medication that dissolved the clot. There is phlebitis that is inflammation of the veins that may be a possibility which may explain discoloration and pain. My 39 yo friend just died of a massive pe. This course of treatment the hospital advised I should follow for 1 year with the possibility of lifelong anticoagulants. This article may shed some light http://www.news-medical.net/news/20160506/Reasons-for-life-threatening-blood-clots-in-elite-athletes.aspx. My grandson has factor VII Leiden. Or is this just an effect of taking the Warfarin and the pressure socks? when should i repeat CT to check if clot is dissolved? I received the full compliments of tests over the next 24 hrs. This meant that I did not have any drug interaction contraindications for taking a DAOA: and I have been on 60mg daily of Edoxaban. I have tried to research on the internet but have not been able to find anything about bleeding from the mouth. The PE is unprovoked, no cause determined, no risk factors (I have yet to test for clotting disorders however this seems unlikely as I have a two and three year old). Was there an associated DVT? For lifelong treatment which is better warfarin or NOAC? Thank you for your concern. This can keep your skin and gums from bleeding. Hi, Perhaps ask your doc about pleurisy. How long will these symptoms last? I was diagnosed yesterday in the ER yesterday with PE. Pulmonary embolism is a medical emergency. It seemed like I had a steady blood draw ever hour or so for test until I was discharged the following day around 2 pm. Went to emergency room 3 times…… More drugs and pain killers. Medically reviewed by Drugs.com. And CT of Thyroid showed enlarged (Goiter) In the case of recurrent events like this in general life long blood thinner is recommended if tolerated. BP N, O sat about 95%, echo cardiogram N for age. The dr gave me a week of from work, he said no stress, you need rest, take it easy. I’ll have more answers next week after I see a cardiologist, but I don’t know how concerned I should be. Watch for bleeding and bruising while you take blood thinners. A few weeks ago i started having severe chest pain but figured it was due to anxiety; well now im having shortness of breath too. The hospital did tests for a PE, one test showed an abnormality and the other test was fine. I have blood clotting problems because of the anticoagulant. Overnight or laying down it would be back to normal. People need to be educated that once they have a dvt they remain high risk and any shortness of breath should be suspicious for pe. He was feeling better the next day and they were going to release him I should say the infection symptoms cleared months ago, following the infarction event. My pulmonologist said he is confident that there is no pulmonary cause for my hemoptysis and is sending me to an ENT for scope. I was tested by my PC on July 2, and found to have an elevated anticardiolipen reading, but tested negative for FACTOR V Leiden. If that happens no blood can leave the heart at all due to the obstruction, and this will almost inevitably result in sudden death. The diagnosis was multiple but no description of size or location. We went to the er they did some heart tests and monitored me-I did keep having tachycardia when I sat up- everything was fine except when I sit or stand up my pulse rate sky rockets, (I asked them about PE but the nurse said I would not be able to talk and be in extreme pain if that was the case and they wouldn’t do a ct scan because they didnt want to expose me to unnecessary radiation when my symptoms weren’t acute) if I’m lying down my pulse rate is normal or up to 90 or 95, when I sit up it rises to 125 to 130. We are at a huge loss and forever will be. The mainstay of treatment from this point is to prevent a recurrent event and the blood thinner is key. Roughly what is the comman age of death in people who have PE at aroumd my age and stay on stop of taking there medication. I had a pulmonary embolism getting my hair washed and styled. I was recently admitted for pulmonary embolism about 2 months ago. Although a diagnosis of pulmonary embolism is made, there is no evidence of right-sided heart dysfunction and the patients are considered stable. However there is still some residual clots in his leg and lungs so he has to stay on the medication for three more months. Otherwise she was progressing along. The paramedics arrived and rushed him to hospital. These include, deficiency of antithrombin, protein C, and its cofactor protein S. Another relatively common one is resistance against activated protein C caused by factor V Leiden. My hear failure doctor did say that on my ct that there were enlarged lymph nodes along the right major fissure of my right lung and I’ve had a cough going on since February also. This picture demonstrates a clot being extracted surgically from the lung artery of a patient with a massive pulmonary embolism. I just found some paperwork from this incident, as I said, ten years ago. If your heart was said to look good, that is reassuring. Thank you for your reply. The autopsy showed pulmonary embolism. and methotrexate and I have this horrible sore mouth and throat. Then yesterday I woke up at 5 am with terrible back pain and hour later I coughed up blood so went back to the hospital. Its been almost 2 months. It is also useful in assessing pressures in the artery of the lung, this should be monitored after a PE. Today the sharp pain has subsided but the heavy achy feeling is still lingering rom calf to inner thigh. Can you offer any input? mrs st .cyr. That day she had 5 neb treatments in less than 8 hrs and her inhalers, she was suffocating. 4 months ago I had a little baby boy, before this I was on bed rest for 6 weeks for complications with the pregnancy with medication that can cause clotting. Well the results came back showed heart damage and I also found out that I have active heart failure. I was wondering if you could explain this. I recieved the Ekos treatment, and heparin for a week before coming home; I now take Eliquis x2 daily. My Left Foot is swollen and painful. I passed out at home, had a Massive PE, admitted to ICU for 9 days. Hi I have a question at the end of my comment first Iam 37 I got my first clot at 29 it happened in my arm where 2 days after a syringe went in my arm to knock me out to get my wisdom teeth taken out then hell began after one in arm I had 4 or 5 in my legs and another in my arm then into my lung they started me on wayfaring after I had the one in my lung very scary situation since the wayfaring and 6 years later I have not had one clot here’s my question a clot on my leg seemed like it didn’t heal right and by looking at the back of my leg it looks like its bruised and dark and a little white ashy in the middle I can run with no pain but if I touch or scratch it hurts like hell now it looks like around this area there is I think dirt build up Iam thinking that’s why it is so dark because I hardly wash there because of pain should I just take a wash cloth and soap and go to town or try something else and is there a name for what I have on the back of my leg thank you. Will this shorten his life span? About 5 weeks post partum I began to have shortness of breath and something that I cannot describe as pain but more light a tightness in the right upper side of my chest. This then led to a pulmonary catherization which led to application of a bolus of heparin and a 24-hour dosing of clot-busting medicine. She has both a cardiologist and pulmonary specialist. In those that are at significant risk with ongoing factors such as lack of mobility, no clear provoking factor and such, i will often discuss extended duration of anticoagulation. This branches into a left and right artery that that are medium sized, then these in turn branch into smaller and smaller pulmonary arteries. Disclaimer: The comment response is opinion and in no way affiliated with my employer. The only surgery i ever had was a tubal ligation over 10 years ago. She, in her opinion feels that I may have had a PE event and not a heart attack. Its important to be on blood thinner to allow that process to occur. I never saw a pulmonologist only recently I decided to see one due to a breathing problem brought on by a beta blocker. The prudent thing to do is to address your traditional cardiac risk factors. if so its not likely to in isolation have a lasting effect on the lung if treated appropriately. High d-dimmer resulted in CT scan of lungs which showed “filling defects in bilateral main, segmental, and subsegmental pulmonary arteries. What are some things that i can expect over the years to come? You know, your probably so exhausted, because your body just went through a very Traumatic Incident, and, well, she’s right. From diagnosis, she saw pulmonary doctor for testing and medical release the point that i don ’ treated! Necessarily mean a DVT which then transferred into a thrombosis which traveled to house. Can to inform more people an operation would it be better for me to a large pulmonary embolism is,. 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