Clinical cases of pulmonary embolism in female military personnel
- Authors: Serdyukov D.Y.1,2, Gordienko A.V.1, Dydyshko V.T.1, Chumak B.A.1, Mikhailov S.S.1,3
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Affiliations:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- St. Petersburg Medical and Social Institute
- The I.I.Mechnikov North-Western State Medical University of the Ministry of Health of the Russian Federation
- Issue: Vol 344, No 10 (2023)
- Pages: 28-33
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/630460
- DOI: https://doi.org/10.52424/00269050_2023_344_10_28
- ID: 630460
Cite item
Abstract
Pulmonary embolism for a long time holds the third place in the structure of cardiovascular mortality. The main problem in the prevention and treatment of this complication is the lack of pathognomonic symptoms and express systems for its prehospital diagnosis. For these reasons, some patients die both before hospitalization and directly in the hospital due to delayed and/or improper treatment. The proportion of female contingent under 45 years old in the Armed Forces of the Russian Federation is steadily increasing, therefore, the identification and detailed clinical analysis of cases of pulmonary embolism in women is an important problem not only for civilian but also for military health care. The article presents two clinical cases of the development of pulmonary embolism in female military personnel against the background of various risk factors, as well as treatment options for this complication.
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About the authors
D. Yu. Serdyukov
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation; St. Petersburg Medical and Social Institute
Author for correspondence.
Email: serdukovdu@yandex.ru
доктор медицинских наук, полковник медицинской службы
Russian Federation, St. Petersburg; St. PetersburgA. V. Gordienko
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: serdukovdu@yandex.ru
профессор, полковник медицинской службы запаса
Russian Federation, St. PetersburgV. T. Dydyshko
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: serdukovdu@yandex.ru
кандидат медицинских наук, подполковник медицинской службы запаса
Russian Federation, St. PetersburgB. A. Chumak
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
Email: serdukovdu@yandex.ru
доцент, полковник медицинской службы
Russian Federation, St. PetersburgS. S. Mikhailov
The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation; The I.I.Mechnikov North-Western State Medical University of the Ministry of Health of the Russian Federation
Email: serdukovdu@yandex.ru
доктор медицинских наук, майор медицинской службы
Russian Federation, St. Petersburg; St. PetersburgReferences
- Крючкова Н.М., Федорова Т.Е., Чернова А.А. и др. Полиморфизм генов MTHFR, GP1BA, FGA при тромбоэмболии легочной артерии // РМЖ. – 2020. – № 3. – С. 18–20.
- Никулина Н.Н., Тереховская Ю.В. Эпидемиология тромбоэмболии легочной артерии в современном мире: анализ заболеваемости, смертности и проблем их изучения // Рос. кардиол. журн. – 2019. – Т. 24, № 6. – С. 103–108.
- Санец И.А., Силин А.Е., Ярец Ю.И. и др. Генетические маркеры венозного тромбоэмболизма у хирургических пациентов // Новости хирургии. – 2018. – Т. 26, № 2. – С. 155–162.
- Якушин С.С., Никулина Н.Н., Тереховская Ю.В. Клинические проявления и диагностика тромбоэмболии легочной артерии в рутинной клинической практике (данные Регионального сосудистого центра Рязанской области) // Рос. медико-биол. вестн. имени академика И.П.Павлова. – 2022. – Т. 30, № 1. – С. 51–62.
- Giordano N.J., Jansson P.S., Young M.N. et al. Epidemiology, pathophysiology, stratification, and natural history of pulmonary embolism // Tech. Vasc. Interv. Radiol. – 2017. –. Vol. 20, N 3. – P. 135–140.
- Jara-Palomares L., Alfonso M., Maestre A. et al. Comparison of seven prognostic tools to identify low-risk pulmonary embolism in patients aged <50 years // Sci. Rep. 2019. – N. 9 (1). – P. 20064.
- Konstantinides S.V., Meyer G., Becattini C. et al.2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS): The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC) // Eur. Heart J. – 2020. – Vol. 41, Is. 4. – P. 543–603.
- Lacruz B., Tiberio G., Latorre A. et al. Venous thromboembolism in young adults: Findings from the RIETE registry // Eur. J. Intern. Med. – 2019. – N. 63. – P. 27–33.
- Palm V., Rengier F., Rajiah P. et al. Acute Pulmonary Embolism: Imaging Techniques, Findings, Endovascular Treatment and Differential Diagnoses // Fortschr. Rцntgenstr. – 2020. – Vol. 192. – P. 38–49.
- Spencer F.A., Lessard D., Emery C. et al. Venous Thromboembolism in the Outpatient Setting // Arch. Intern. Med. – 2007. – Vol. 167, N. 14. – P. 1471–1475.
- Tzoran I., Papadakis E., Brenner B. et al. Gender-related differences in the outcome of patients with venous thromboembolism and thrombophilia // Thromb. Res. – 2017. – Vol. 151, Suppl. 1. – P. S11–S15.
- Wendelboe A.M., Raskob G.E. Global burden of thrombosis: epidemiologic aspects // Circ. Res. – 2016. – Vol. 118. – P.1340–1347.