COPD and PE: A clinical dilemma
Authors Moua T, Wood K
Published 6 June 2008 Volume 2008:3(2) Pages 277—284
Teng Moua1, Kenneth Wood2
1Department of Internal Medicine, 2Section of Pulmonary and Critical Care Medicine, University of Wisconsin Hospitals and Clinics, Madison, WI, USA
Abstract: Dyspnea in patients with known chronic obstructive pulmonary disease (COPD) can be a clinical challenge due to the nonspecific nature of atypical presentations. Typical features of fever, productive cough, and wheezing on presentation support COPD exacerbation, while absence of such findings may warrant further evaluation for underlying etiologies, including pulmonary embolism (PE). It is suspected that one in four patients with atypical COPD exacerbation may have PE as an underlying or concomitant cause of acute dyspnea. This review discusses the clinical presentation of COPD and PE, and presents an overview of the rationale for pursuing work-up for thromboembolic disease in the setting of known obstructive lung diseases.
Keywords: pulmonary embolism, chronic obstructive pulmonary disease, COPD, dyspnea
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF]