A pulmonary embolism can be life-threatening. About one-third of people with an undiagnosed and untreated pulmonary embolism don't survive. When the condition is diagnosed and treated promptly, however, that number drops dramatically.
Most people will make a full recovery after a pulmonary embolism and do not experience long-term complications. However, some people develop: post-thrombotic syndrome, which causes swelling, pain, and skin discoloration.
A pulmonary embolism (PE) is a blood clot in the lungs, which can be serious and potentially lead to death. When left untreated, the mortality rate is up to 30% but when treated early, the mortality rate is 8%. Acute onset of pulmonary embolism can cause people to die suddenly 10% of the time.
The pain and swelling from a DVT usually start to get better within days of treatment. Symptoms from a pulmonary embolism, like shortness of breath or mild pain or pressure in your chest, can linger 6 weeks or more.
About 25% of people who have a PE will die suddenly, and that will be the only symptom. About 23% of people with PE will die within 3 months of diagnosis, just over 30% will die after 6 months, and there is a 37% mortality (death) rate at 1 year after being diagnosed.
It is important to start treatment right away for DVT. It takes about 3 to 6 months for a blood clot to go away.
On Average, 274 People Die Every Day from Blood Clots
This translates into about 1 to 3 cases per 1,000 people. 250,000 cases of potentially deadly blood clots, such as deep vein thrombosis or DVT, occurred each year between 1966 through 1990.
Blood thinners or anticoagulants are the most common treatment for a blood clot in the lung. While hospitalized an injection is used, but this will be transitioned into a pill regimen when the patient is sent home.
Doctors guide a catheter—a thin, flexible tube—through a small incision either in the groin or in the neck, and into the artery in the lungs. The catheter is then positioned next to the clot, so the doctor can break it up or remove it.
Usually, a pulmonary embolism is caused by a blood clot travelling up from one of the deep veins in your body, usually in the leg. This kind of blood clot is called a deep vein thrombosis (DVT). In some cases, the blood clot occurs because of a change in your physical condition, such as pregnancy or recent surgery.
Blood Thinners
Also called “anticoagulants,” these are the most common treatment for a blood clot in the lung. They serve two key roles: First, they keep the clot from getting any bigger. Second, they keep new clots from forming. They don't dissolve blood clots.
The median age at death from PE decreased from 73 years to 68 years (2000–18).
Blood-thinning medications are commonly used to prevent blood clots from forming or getting bigger. Thrombolytic medications can break up existing clots.
In addition, when a clot in the deep veins is very extensive or does not dissolve, it can result in a chronic or long-lasting condition called post-thrombotic syndrome (PTS), which causes chronic swelling and pain, discoloration of the affected arm or leg, skin ulcers, and other long-term complications.
Chest pain or discomfort that gets worse when you breathe deeply or cough. Coughing up blood. Feeling lightheaded or faint. Feeling anxious or sweating.
Because you are taking a blood thinner, you should try not to hurt yourself and cause bleeding. You need to be careful when you use knives, scissors, razors, or any sharp object that can make you bleed. You also need to avoid activities and sports that could cause injury. Swimming and walking are safe activities.
Once an unprovoked vein clot is treated, guidelines recommend that patients take blood thinners for the rest of their lives. If they do not, their risk of having a second clot is 30 to 40 percent in the next 10 years.
Alcohol may interfere with the action of certain medications, including blood thinners. Doctors recommend that people taking warfarin or drugs containing acetylsalicylic acid limit their intake of alcohol. Occasional, moderate alcohol use should be safe for most people who are taking blood thinners.
Many people who have a PE spend some time in the hospital to receive treatment. The length of this stay can depend on the severity of the PE. One study from 2008 found that the median length of hospital stay for a PE was 6 days. In some cases, it may be possible to receive treatment at home.
How serious is a pulmonary embolism? With proper diagnosis and treatment, a PE is seldom fatal. However, an untreated PE can be serious, leading to other medical complications, including death. About 33% of people with a pulmonary embolism die before they get a diagnosis and treatment.
It's usually recommended to start with a few minutes of walking each day and gradually increase your time as you become stronger. As long as it's done safely, exercising after a pulmonary embolism may help to prevent another one from occurring and help build back your strength.
DON'T stand or sit in one spot for a long time. DON'T wear clothing that restricts blood flow in your legs. DON'T smoke. DON'T participate in contact sports when taking blood thinners because you're at risk of bleeding from trauma.
Some patients with PE may also be sent home, according to Dr. Schuur, although the majority will be admitted. Studies have shown that it's safe for certain patients to be discharged, such as those with a small PE and no other health risks.
Home treatment is feasible and safe in selected patients with acute pulmonary embolism (PE) and is associated with a considerable reduction in health care costs. When establishing a PE outpatient pathway, 2 major decisions must be made. The first one concerns the selection of patients for home treatment.