Pulmonary embolism - pathophysiology

Pulmonary embolism (PE) is a life-threatening condition where a blood clot blocks pulmonary arteries, usually originating from deep vein thrombosis (DVT). It leads to increased pulmonary vascular resistance, right ventricular dysfunction, and ventilation-perfusion mismatch, causing hypoxemia and potentially death. Understanding Virchow's triad (hypercoagulability, stasis, and endothelial injury) is vital for comprehending PE's development and guiding prevention and treatment strategies.

Key points

  • PE primarily originates from DVT and obstructs pulmonary arteries, leading to hemodynamic and respiratory compromise.
  • Right ventricular dysfunction is a critical consequence of PE, requiring immediate attention and supportive care.

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