Patients will have to stay on blood thinning medication from 6 months to life long depending on the circumstance. It is unfortunate and rare in those that are fit and active. January 20, 2016 203339 34 Dr. Mustafa Ahmed. I would go and seek an urgent medical opinion if you have had a recent PE and are having symptoms that concern you. The third time they had no idea, as blood levels were normal and PET scan was clean. Thanks Have had numb/painful foot/toe for about 3 weeks. Many physicians would recommend aspirin in the long term in the absence of significant bleeding risk factors and it may be effective to some degree although not as effective as anticoagulation. It is not unusual for no cause to be found, it is actually fairly common and not a mystery. How long will they wait to reachedule the surgery? If you are interested in cutting edge information and therapy for pulmonary embolism and heart disease then feel free to follow our twitter at @MustafaAhmedMD, Hi Dr Ahmed, I was diagnosed May 16 with PE at age 68 and did not have any DVT they don’t know how they developed they ran a lot of test on my blood and think that my body is making a lot of clots this is all new to me and as far as I know it didn’t run in the family the diagnoses was bilateral pulmonary embolism with supraventricular tachycardia they didn’t say that my heart was damaged due to the Pe so I am on blood thinners for now till I have a blood test in August to see if it is symptomatic or not I also have a under active thyroid I wonder if the two are connected I read if your thyroid is not working it affects your whole system I haven’t found any info yet about it .I wonder if I should be watching my heart rate they didn’t say I should even thou it was high at 140 and had to bring it down I due worry when I am being active what would you due I would like your opinion and I will talk to my physician when I see him.Thanks. I am kind of worried they didn’t keep me…. What was strange is both my chest xrays and CT scan did not dectect any PE. The hospital (NHS, in the UK) will not re-scan my leg at intervals because they said the treatment I am receiving will not alter. What if I took Asprin and had a glass of wine every day? Imagine a large pulmonary embolism where a clot was blocking that artery. Submassive pulmonary embolism means that while criteria for massive pulmonary embolism is not met, and the patient may appear to be relatively stable; there is still evidence for right-sided heart dysfunction. I was told I was anemic and was put on iron pills 3 times a day along with 40mg of omeprazole. Loved the information. If it is likely to be the former, do you know how long it might take for my clot to disperse (approximately, of course!)? I am 24 years old & was just recently in the hospital (about a week- week and a half ago) & was diagnosed with bilateral PE via CT scan with contrast. I’m a no smoker and I do not drink alcohol. After a CT scan it was shown that he had 2 massive clots in his lungs. It stopped, started again, etc. Thank you very much Dr. Mustafa. I am almost 71. I am a 40 yr old female. Also, insurance says genetic testing is not covered because it is “investigational”. Hi, I’m 25 years and I have a large pulmonary embolism in my right lung . Mild aortic regurgitation. He had been active his entire life and rarely ever even got the flu or a cold. i am being treated with warfarin and injections in my stomach if it drops below 2. i was told that having these blood clots are dangerous but they don;t explain why .can these cause a stroke or a heart attack or sudden death.please can you give me some further information as i am worried sick for my future. Also I’m on warfarin for life as they didn’t want to risk me not on thinners I was on clexsane injections through out pregnancy and for a good five ,on the after while hy hemotologist watched me a d ran loads of tests as he was studying me and wanted to test for every reason possible that could of made me clot I don’t drink, smoke, wasn’t over weight I used to cycle and horse ride . The consultant came around later and said they didn’t actually need to keep me in because I was walking around ( saturation levels were dropping a bit ) and was managing ok so they sent me home with Fragmin to self inject twice a day. Any advice or input would be greatly appreciated. The cardiologists ordered a stress test and said preliminary results indicate symptoms are not cardiac. I was put on xeralto on July 3, 2018. It is not intended as medical advice for individual conditions or treatments. Hi, i’m glad to see you appear to have made it through your ordeal in a stable manner. In my experience, on follow up imaging, the clot is often gone. For example, after walking up about 4 stairs at a bowling alley, he felt winded for no good reason. Any ideas what the cause would be. This incident was non provoked and my son was only thirty years old with no family history. Are these findings “normal” with a PE, or are they not? Three smaller in my right. This article is really helpful.My Sister had a severe leg pain ,so sge went to doctor and they confirmed thats its a DVT.The did all kinds of test and found found that she also has clots in the lungs. I have been to multiple doctors for diagnosis. They said I’m having anxiety… my Blood work came back normal. If you were to take some blood and pour it into a cup and wait a minute, the blood would form a clot because it’s not flowing. What are your thoughts on this? My husband died suddenly of a pulmonary embolism, but none was seen in his autopsy. I had 5 clots lodged in my lungs. I had no right heart strain. My father died at the age of 56 and his brother, sister, mother and father have all passed on due to heart attacks. I had Pleurisy and Pulmonary Infarction. Two weeks after the surgery, he went in to have his stitches removed and told the surgeon how he was feeling and the surgeon told him he didn’t handle issues like that and that he would have to go see his family physician. On day 49 of my recovery I had bad chest pain and headaches and felt dizzy. I cannot even begin to describe how bad this pain was. Phlebitis can occur with or without a clot. She has been on blood thinners for 6 months but she is still getting chest pains. How serious was this heart strain, your opinion. Is she in the right direction, I am no longer on OCP. What can the cause of the blood clots be, and why is it still appearing? 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). Follow up care should ideally be with a physician that specializes in PE. I am diabetic, over weight, inactive because of bulging disc in my back and in remission from Leukemia. My dad is 63, a non smoker, in an active job. It appears that I had May-Thurner Syndrome (iliac vein compression) approx 80% causing statis where the vein was compressed by the artery. She is on eliquis and metoprolol for heart rate. This is a fluoroscope video of 2 special tubes known as catheters that are passed through the veins of the leg into the arteries of the lung. Then, I called my brother, and told him I needed to go to the hospital, and in the car, as I was getting in, I passed out. When I went to the ER I was actually driving back home from a family reunion in Nebraska I lived in North Carolina at the time. Would it be better for me to seek out a cardiologist for follow up care. I’ll have more answers next week after I see a cardiologist, but I don’t know how concerned I should be. He did send me in for a echocardiogram and stress test. A pulmonary embolism is the term for a clot trapped in the lung. Each year between 100,000-180,000 Americans die as the result of pulmonary embolism, a complication from blood clots in the lungs. Because the clots block blood flow to the lungs, pulmonary embolism can be life-threatening. Treating a pulmonary embolism. while on xarelto a superficial clot the length of my arm was formed. The ultrasound came back negative on my legs, my echocardiogram came back perfect, & my vitals were good as well. Or am I still at risk of death? I don’t have a genetic clotting disorder. While at work I suddenly had explosion of pain that started right below my breast bone and expanded throughout my chest, both sides of my rib cage to my upper back. These feelings make me a bit concerned. Did you have right heart strain on your ct or echo? In terms of risk for PE, he may have risk factors but the good news is he hasn’t had one yet. Thank you so much. I would recommend an opinion from a urologist to ensure no underlying issue. Given the large amount of people we have been able to help here, we are starting a twitter to help keep heart patients up to date with advances and relevant information. Should i push for them to check for PE? I am receiving care from my family Doctor at this time. 145 / 90 to 108 /71. They worked on me for 2 hours and 46 minutes that night. I would suspect you would need blood thinners for at least 6 months, if not a year. Regardless the treatment would be the same as you have now most likely, that is blood thinner. I never saw a pulmonologist only recently I decided to see one due to a breathing problem brought on by a beta blocker. If you suspect this or have a genetic predisposition to thrombosis have it looked at I experienced a DVT and PE on Jan 28, 2019. Readmitted for 7 more days. I could not breathe, it was very difficult to talk because of my breathing . These cells can secrete chemicals and send signals if they want certain things to happen. It all depends on how the patient is doing at baseline. The most common presenting symptom of a pulmonary embolism is shortness of breath, that occurs fairly rapidly, either at rest, or when performing activity. Thankfully I regained consciousness, but not being able to breath when I woke up was the worst thing that I can remember. He stated the dvt is mostly likely adhered to the vein vessel..Your thoughts? If someone was fit and healthy then they often bounce back relatively quickly, those with complex medical history and pre existing symptoms may take longer to bounce back. Yes, this was most excellent in letting me know what I was up against. Should I be concerned that due to the reduction of activity and illness I had, that I actually am experiencing PEs again? This test was developed by Cleveland Clinic and may help explain many of the cases where the cause is unknown. 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