Pulmonary embolism: Differences in presentation between older and younger patients

Age and Ageing

Volumn 32, Issue 6, 2003, Pages 601-605

  Timmons, Suzanne ^a,b   Kingston, Maeve ^a   Hussain, Mehboob ^a   Kelly, Hiliary ^a   Liston, Richard ^a  

^a Tralee General Hospital   (Ireland)

^b University College Cork and INFANT Centre   (Ireland)

Author keywords

Computed tomography; Presentation; Pulmonary embolism

Indexed keywords

ACUTE DISEASE; ADULT; AGE; AGED; ARTICLE; BREATHING RATE; CLINICAL EXAMINATION; COLLAPSE; CONTROLLED STUDY; CYANOSIS; ELECTROCARDIOGRAPHY; FEMALE; HEART RATE; HUMAN; HYPOXIA; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; PRIORITY JOURNAL; PUBLIC HOSPITAL; RETROSPECTIVE STUDY; SPIRAL COMPUTER ASSISTED TOMOGRAPHY; STATISTICAL SIGNIFICANCE; SYMPTOMATOLOGY; THORAX PAIN; X RAY FILM;

AGED; AGED, 80 AND OVER; ANOXIA; CAUSE OF DEATH; CHEST PAIN; CYANOSIS; DIAGNOSIS, DIFFERENTIAL; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; IRELAND; MALE; PREDICTIVE VALUE OF TESTS; PULMONARY EMBOLISM; RETROSPECTIVE STUDIES; SURVIVAL RATE; SYNCOPE; TOMOGRAPHY, SPIRAL COMPUTED;

EID: 0344034782     PISSN: 00020729     EISSN: None     Source Type: Journal    
DOI: 10.1093/ageing/afg098     Document Type: Article

References (20)

1. Busby W, Bayer A, Pathy J. Pulmonary embolism in the elderly. Age Ageing 1998; 17: 205-9.
2. Kniffin WD, Baron JA, Barrett J et al. The epidemiology of diagnosed pulmonary embolism and deep venous thrombosis in the elderly. Arch Intern Med 1994; 154: 861-6.
3. Hager K, Setzer J, Vogl T et al. Blood coagulation factors in the elderly. Arch Gerontol Geriatr 1989; 9: 277-82.
4. Gisselbrecht M, Diehl J, Meyer G, Collignon M, Sors H. Clinical presentation and results of thrombolytic therapy in older patients with massive pulmonary embolism: a comparison with non-elderly patients. J Am Geriatr Soc 1996; 44: 189-93.
5. Stein P, Gottschalk A, Saltzman H et al. Diagnosis of acute pulmonary embolism in the elderly. J Am Coll Cardiol 1991; 18: 1452-7.
6. Ramos A, Murillas J, Mascias C, Carretero B, Portero JL. Influence of age on clinical presentation of acute pulmonary embolism. Arch Gerontol Geriatr 2000; 30: 189-98.
7. Goldhaber S, Hennekens C, Evans D et al. Factors associated with correct antemortem diagnosis of major pulmonary embolism. Am J Med 1982; 73: 822-6.
8. Taubman L, Silverstone F. Autopsy proven pulmonary embolism among the institutionalised elderly. J Am Geriatr Soc 1986; 34: 752-6.
9. Remy-Jardin M, Remy J, Wattinne L, Giraud F. Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with the single-breath-hold technique- comparison with pulmonary angiography. Radiology 1992; 185: 381-7.
10. Mayo J, Remy-Jardin M, Muller N et al. Pulmonary embolism: prospective comparison of spiral CT with ventilation/perfusion scintigraphy. Thoracic Radiology 1997; 205: 447-52.
11. Ost D, Rozenshtein A, Saffran L, Snider A. The negative predictive value of spiral computed tomography for the diagnosis of pulmonary embolism in patients with nondiagnostic ventilation-perfusion scans. Am J Med 2001; 110: 16-21.
12. ACCP Consensus Committee on Pulmonary Embolism. Opinions regarding the diagnosis and management of venous thromboembolic disease. Chest 1998; 499-504.
13. PIOPED investigators. Value of the ventilation/perfusion scan in acute pulmonary embolism: Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). JAMA 1990; 263: 2753-9.
14. Goodman L, Curtin J, Mewissen M et al. Detection of pulmonary embolism in patients with unresolved clinical and scintigraphic diagnosis: helical CT versus angiography. Am J Roentgenol 1995; 164: 1369-74.
15. Liston R, McLoughlin R, Clinch D. Acute pneumothorax: a comparison of elderly with younger patients. Age Ageing 1994; 23: 393-5.
16. Clinch D, Banerjee AK, Ostick G. Absence of abdominal pain in elderly patients with peptic ulcer. Age Ageing 1984; 13: 120-3.
17. Scapa E, Horowitz M, Waron M et al. Duodenal ulcer in the elderly. J Clin Gastroenterol 1989; 11: 502.
18. Konu V. Myocardial infarction in the elderly. Acta Med Scand 1997; 9 (Suppl): 604.
19. Gibson S, Helme R. Age-related differences in pain perception and report. Clin Geriatr Med 2001; 17: 433-56.
20. Lasch H, Castell DO, Castell JA. Evidence for diminished visceral pain with aging: studies using graded intraoesophageal balloon distension. Am J Physiol 1997; 272: G1-3.