%0 Journal Article
%T Pulmonary Embolism in Young Patients: About 24 Cases at the Cardiology Department of Dakar Principal Hospital in Senegal
%A Joseph Salvador Mingou
%A Amadou Tidjani Saadou
%A Madjiguene Ka
%A Zoumana Sangar¨¦
%A Serigne Cheikh Tidiane Ndao
%A Khadidiatou Dia
%A Mouhamed Cherif Mboup
%A Pape Diadi¨¦ Fall
%J World Journal of Cardiovascular Diseases
%P 632-638
%@ 2164-5337
%D 2019
%I Scientific Research Publishing
%R 10.4236/wjcd.2019.99056
%X <strong>Introduction</strong><span style=\"line-height:1.5;font-family:Verdana;\"><strong>:</strong> Pulmonary embolism
is a relatively common life-threatening cardiovascular emergency. It remains a
diagnostic problem because of its nonspecific clinical signs.</span><span style=\"font-size:10pt;font-family:'';\"> </span><b style=\"line-height:1.5;\"><span style=\"font-family:Verdana;\">Objective</span></b><span style=\"line-height:1.5;font-family:Verdana;\">: The general objective was
to study pulmonary embolism in young patients admitted to the cardiology department
of Dakar Principal Hospital in Senegal.</span><span style=\"font-size:10pt;font-family:'';\"> </span><b style=\"line-height:1.5;\"><span style=\"font-family:Verdana;\">Methodology</span></b><span style=\"line-height:1.5;font-family:Verdana;\">: This was a
retrospective, descriptive and analytical study in the cardiology department of
the Dakar Principal Hospital over a period of two (02) years from January 1,
2015 to December 31, 2016 in young patients admitted for pulmonary embolism.</span><span style=\"font-size:10pt;font-family:'';\"> </span><b style=\"line-height:1.5;\"><span style=\"font-family:Verdana;\">Results</span></b><span style=\"line-height:1.5;font-family:Verdana;\">: We collected 24 patients
with a hospital prevalence of 2.18%. The average age was 42.29 years ¡À 8.41
years with a male predominance (sex ratio of 1.6). The Wells probability score
was low in 54.16% of patients and medium in 45.83%. Functional signs were dominated
by chest pain (83.33% of cases) followed by dyspnea (79.16% of cases). The
thromboembolic risk factors found were gynecological-obstetrical in 16.6% of
cases followed by prolonged bed rest. One case of thrombophilia was present
with a deficiency of protein C and antithrombin III. The electrocardiogram
recorded sinus tachycardia in 29.16% of patients; the Mac Ginn White sign
(S1Q3T3) was found in 25% of cases.</span><span style=\"font-size:10pt;font-family:'';\"> </span><span style=\"line-height:1.5;font-family:Verdana;\">Echocardiography
showed pulmonary arterial hypertension in 12.48% of cases, dilation of the
right ventricle and a paradoxical septal motion in 14.28% of cases.</span><span style=\"font-size:10pt;font-family:'';\"> </span><span style=\"line-height:1.5;font-family:Verdana;\">CT pulmonary
angiography showed 63.63% of cases with bilateral pulmonary embolism; it was
unilateral in 22.72% of cases.</span><span style=\"font-size:10pt;font-family:'';\"> </span><span style=\"line-height:1.5;font-family:Verdana;\">Long-term anticoagulation was
%K Pulmonary Embolism
%K Young Patients
%K Dakar (Senegal)
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=94876