পালমোনারি এম্বোলিজম

Overview of Pulmonary Embolism

Pulmonary Embolism (PE) is a serious medical condition that occurs when a blood clot travels to the lungs and blocks a pulmonary artery. This interruption in blood flow can damage lung tissue and lower oxygen levels in the body. Most often, these clots originate from deep veins in the legs — a condition known as deep vein thrombosis (DVT). Prompt diagnosis and treatment are critical, as untreated PE can be life-threatening.

Types of Pulmonary Embolism

1. Acute Pulmonary Embolism: Sudden blockage of a pulmonary artery; symptoms appear quickly and need emergency care.

2. Chronic Pulmonary Embolism: Repeated or unresolved clots that cause long-term pressure in pulmonary arteries.

3. Massive Pulmonary Embolism: A large clot causing serious drop in blood pressure and risk of shock.

4. Submassive Pulmonary Embolism: Moderate blockage with heart strain but no significant drop in blood pressure.

5. Saddle Pulmonary Embolism: A rare but life-threatening clot that lodges at the bifurcation of the main pulmonary artery.

Symptoms of Pulmonary Embolism

Sudden shortness of breath, even at rest.

Sharp chest pain that may worsen with deep breaths.

Rapid heartbeat or palpitations.

Lightheadedness or fainting spells.

Coughing up blood (hemoptysis).

Feeling anxious or restless for no reason.

Pain or swelling in the leg, especially the calf.

Bluish lips or skin in severe cases.

Causes of Pulmonary Embolism

Blood clots traveling from deep veins (usually in the legs).

Long periods of immobility (post-surgery, long flights, bed rest).

Injury or trauma to veins.

Surgery (especially orthopedic or pelvic surgeries).

Cancer and cancer treatments.

Pregnancy and childbirth.

Hormone therapy or birth control pills.

Inherited blood clotting disorders.

Complications in Pulmonary Embolism

Permanent damage to lung tissue (pulmonary infarction).

Decreased oxygen levels leading to organ dysfunction.

Increased pressure in pulmonary arteries (pulmonary hypertension).

Recurrence of embolism if untreated.

Heart failure in severe or chronic cases.

Sudden cardiac arrest or death in untreated massive PE.

Risk Factors of Pulmonary Embolism

Recent surgery or trauma.

Long-term immobility (travel, hospitalization).

History of blood clots or DVT.

Obesity and sedentary lifestyle.

Smoking and excessive alcohol intake.

Use of estrogen-containing medications.

Advanced age or genetic clotting disorders.

Chronic diseases such as heart failure or cancer.

Preventions of Pulmonary Embolism

Stay physically active, especially during long travel or recovery.

Use compression stockings if advised post-surgery.

Take blood thinners if prescribed by your doctor.

Drink enough fluids to prevent dehydration.

Elevate legs when sitting for long periods.

Avoid smoking to reduce clot risks.

Follow postoperative movement guidelines strictly.

Manage chronic conditions such as obesity, hypertension, or diabetes.