Pulmonary Embolism at High Altitude: Analysis of Risk Factors
Objective: To analyze the risk factors for pulmonary embolism stationed at high altitudes with high altitude as one of the determinants. Study Design: Retrospective longitudinal study. Place and Duration of Study: Combined Military Hospital Skardu Pakistan, from Jan 2016 to Jan 2020. Metho...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Army Medical College Rawalpindi
2022-09-01
|
| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://pafmj.org/index.php/PAFMJ/article/view/4873 |
| _version_ | 1798027507577913344 |
|---|---|
| author | Naimat Ullah Khan Muhammad Adil Muhammad Zaman Abdul Rahim Palwa Muhammad Tahir Muhammad Rameez Nawaz |
| author_facet | Naimat Ullah Khan Muhammad Adil Muhammad Zaman Abdul Rahim Palwa Muhammad Tahir Muhammad Rameez Nawaz |
| author_sort | Naimat Ullah Khan |
| collection | DOAJ |
| description |
Objective: To analyze the risk factors for pulmonary embolism stationed at high altitudes with high altitude as one of the determinants.
Study Design: Retrospective longitudinal study.
Place and Duration of Study: Combined Military Hospital Skardu Pakistan, from Jan 2016 to Jan 2020.
Methodology: A total of 25 consecutive cases with pulmonary embolism reported to this hospital during the study period were enrolled. Medical records of all patients were retrospectively analyzed to determine the risk factors. In addition, patient demographic data, clinical features, and laboratory and radiological findings were recorded.
Results: Mean age of the patient was 30.68±5.37 years with a range from 23 to 40 years, the mean height of deployment was 17223.00±3577.00 feet, while the mean duration of stay was 53.92±44.76 days. Dyspnoea (84%) was the commonest clinical presentation followed by palpitation, chest pain, headache and haemoptysis. Most patients (88%) were non-smokers, while no patient had known significant risk factors. Thrombophilia and vascultitic screening were negative for all patients. In the absence of any significant hereditary or acquired risk factor, high altitude remains the only thrombogenic risk factor patients deployed at heights.
Conclusion: Stay at a high altitude is a major risk factor for pulmonary embolism in young patients without any other known risk factor.
|
| first_indexed | 2024-04-11T18:52:45Z |
| format | Article |
| id | doaj.art-2062f4df25874e13bcad446d844631f9 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-04-11T18:52:45Z |
| publishDate | 2022-09-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-2062f4df25874e13bcad446d844631f92022-12-22T04:08:17ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422022-09-0172410.51253/pafmj.v72i4.4873Pulmonary Embolism at High Altitude: Analysis of Risk FactorsNaimat Ullah Khan0Muhammad Adil1Muhammad Zaman2Abdul Rahim Palwa3Muhammad Tahir4Muhammad Rameez Nawaz5Combined Military Hospital Skardu/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Skardu/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Skardu/National University of Medical Sciences (NUMS) PakistanArmed Forces Institute of Radiology & Imaging/ National University of Medical Sciences (NUMS) Rawalpindi PakistanRahbar Medical and Dental College, Lahore PakistanCombined Military Hospital Skardu/National University of Medical Sciences (NUMS) Pakistan Objective: To analyze the risk factors for pulmonary embolism stationed at high altitudes with high altitude as one of the determinants. Study Design: Retrospective longitudinal study. Place and Duration of Study: Combined Military Hospital Skardu Pakistan, from Jan 2016 to Jan 2020. Methodology: A total of 25 consecutive cases with pulmonary embolism reported to this hospital during the study period were enrolled. Medical records of all patients were retrospectively analyzed to determine the risk factors. In addition, patient demographic data, clinical features, and laboratory and radiological findings were recorded. Results: Mean age of the patient was 30.68±5.37 years with a range from 23 to 40 years, the mean height of deployment was 17223.00±3577.00 feet, while the mean duration of stay was 53.92±44.76 days. Dyspnoea (84%) was the commonest clinical presentation followed by palpitation, chest pain, headache and haemoptysis. Most patients (88%) were non-smokers, while no patient had known significant risk factors. Thrombophilia and vascultitic screening were negative for all patients. In the absence of any significant hereditary or acquired risk factor, high altitude remains the only thrombogenic risk factor patients deployed at heights. Conclusion: Stay at a high altitude is a major risk factor for pulmonary embolism in young patients without any other known risk factor. https://pafmj.org/index.php/PAFMJ/article/view/4873High altitudePulmonary embolismThrombotic diseases |
| spellingShingle | Naimat Ullah Khan Muhammad Adil Muhammad Zaman Abdul Rahim Palwa Muhammad Tahir Muhammad Rameez Nawaz Pulmonary Embolism at High Altitude: Analysis of Risk Factors Pakistan Armed Forces Medical Journal High altitude Pulmonary embolism Thrombotic diseases |
| title | Pulmonary Embolism at High Altitude: Analysis of Risk Factors |
| title_full | Pulmonary Embolism at High Altitude: Analysis of Risk Factors |
| title_fullStr | Pulmonary Embolism at High Altitude: Analysis of Risk Factors |
| title_full_unstemmed | Pulmonary Embolism at High Altitude: Analysis of Risk Factors |
| title_short | Pulmonary Embolism at High Altitude: Analysis of Risk Factors |
| title_sort | pulmonary embolism at high altitude analysis of risk factors |
| topic | High altitude Pulmonary embolism Thrombotic diseases |
| url | https://pafmj.org/index.php/PAFMJ/article/view/4873 |
| work_keys_str_mv | AT naimatullahkhan pulmonaryembolismathighaltitudeanalysisofriskfactors AT muhammadadil pulmonaryembolismathighaltitudeanalysisofriskfactors AT muhammadzaman pulmonaryembolismathighaltitudeanalysisofriskfactors AT abdulrahimpalwa pulmonaryembolismathighaltitudeanalysisofriskfactors AT muhammadtahir pulmonaryembolismathighaltitudeanalysisofriskfactors AT muhammadrameeznawaz pulmonaryembolismathighaltitudeanalysisofriskfactors |