Doctor insights on:
How Long Does Palpitations Associated With Pulmonary Embolus Last
Can symptoms of pulmonary embolism (chest tightness, heart palpitations) come and go, or will they be constant if it's a dangerous pe clot?
Many causes however, so exam and testing is required to be definitive.
Small recurrent emboli are known and can be intermittent and variable, and eventually lethal. ...Read more
Palpitations are an awareness of extra heartbeats which most of us have. The sensation can be single or multiple and can sometimes last minutes. Different people may feel other symptoms along with them such as dizzy, lightheaded or short of breath. The palpitations are almost always atrial or ventricular premature beats. Usually benign but they are also ...Read more
Palpitations or irregular heart rhythm may be associated with PE but are also associated with may other things, many of which are benign. Usually there is some other symptom such as chest pain, sweating, shortness of breath or air hunger.
A PE is unusual in a young active person who has not had trauma or surgery ...Read more
How long following initial treatment of a pulmonary embolism do chest pains and light-headedness last? What symptoms would merit emergency treatment?
Started micronor last week, and I feel like I got hit by a PMS truck. I'm an emotional disaster. How long does this take to go away? Can't take regular ocps because of hx of pulmonary embolism.
4-6 weeks probably
depends on how solid the mass and how large and how treated. ...Read more
It depends: We always treat patients with DVT and pulmonary embolus for a minimum of 6 months and usually 12. Work-up for hypercoagulability (predisposition for abnormal blood clotting) is always performed, usually after the year of Coumadin (warfarin) treatment. If you have a hypercoagulable state as determined by blood testing, you may need anti coagulation for life. ...Read more
My wife had a pulmonary embolism in Oct 2015. It was medically completely unprovoked. She has been using Warfarin and later switched to Xarelto. For how long should she continue to use Xarelto and does she need to go for follow up scans at some point?
There is a 10% per: Year recurrence rate of unprovoked PE. There is about a 30% risk of death associated with PE. This means that she has a 50:50 chance of recurrence in the next 5 years and a 1/3 chance of dying associated with the recurrence when it occurs. She should stay on Xarelto indefinitely. Follow up scans are not needed in the absence of symptoms. ...Read more
Varies by surgery: All major surgeries have risk of blood clots called DVTs of the pelvis or legs. DVTs can then have a risk of dislodging & traveling to the lungs (i.e. PE). The more major the surgery, the longer the surgery, & the longer the period of immobility after surgery, the higher the chances. Major orthopedic surgery / general surgery / OB-GYN surgery are highest risk. Can happen w/i hours, days, or weeks. ...Read more
PE: A small pe might go unnoticed but any significant sized pe is going to cause symptoms which would either get your attention or worse. If you suspect pe you should get to the er. ...Read more
Had a pulmonary embolism last year in june & was off the medication in feb. Iv been getting really bad upper back pains for 2 months now. Another pe?
Needs evaluation: Two months is a long time to stay without help for the bad pains, particularly with your medical history. Please see your doctor as soon as possible for proper diagnosis and care. Take care of yourself. ...Read more
Embolism: Pulmonary embolism is when a clot becomes dislodged and goes to the lungs which is carried there by the normal blood flow. The answer is it can break off at anytime. Usually after a couple of weeks the clot will harden and may be less likely to break off. ...Read more
I had a pulmonary embolism last week and my chest/side pain was gone but now it is back and severe. Should I be going to the ER or is this normal?
I was diagnosed with a saddle pulmonary embolism 3mths ago my last INR test was only 1.5 & I'm feeling more breathless again cud it be another pe?
Yes it's pisdible: You should be re evaluated. Call your doctor or go to the er. ...Read more
W a history of pulmonary embolism & apc-r but not on anticoagulant any longer how long after a surgery (not pe related) do you need to be on it again?
Before and after elective surgery we may bridge with Heparin for afew days and then restart coumadin, (warfarin) when bleeding risk is down.
It is a surgical judgement as to likelihood of bleeding and risk if one does bleed in the surgical site.
After DVT and pe most are on Coumadin (warfarin) for six months, unless coagulopathies which need lifelong. ...Read more
I am really scared of a pulmonary embolism. How strong would the chest pain be? Huge pain? How long till you die if one shows up? Enough time to call er?
Pulmonary embolism: Patients with a pulmonary emoblism (pe) do not get chest pain. If it is not fatal, patients with pe's have shortness of breath. Most people do not die of pe's, if they are not large. That is not the case if they have a large pe. If the pe is large enough, death occurs quite quickly. A pe is diagnosed by a ct angiogram of the lungs. Why are you worried about a pe? ...Read more
I was diagnosed with a pulmonary embolism last year in june and I came off the warfarin in february and now I'm getting these sharp sudden chest pains. What should I do?
Chest pains: You should see your doctor about these chest pains. Your doc can determine if the problem is recurring or if this is something else. ...Read more
Depends...: It depends on the etiology of the pulmonary embolism as well as the size of the pe. There is a disease called chronic thromboembolic disease and patients with this have recurrent blood clots. There are also congenital clotting defects which lead to recurrent clots. If a large pe occurs, there can be chronic sequelae. There is treatment available once a diagnosis like this is made. ...Read more
When you feel better: If you no longer have symptoms and the level of the blood thinner (commonly coumadin) is therapeutic. Remember to get up at least 1 time an hour while on the plane. You must also discuss with your doctor before you plan to fly. ...Read more
6 months: The recommended course of coumadin/warfarin for a pe is minimum 6 months. It may be longer depending on history and risk factors. If there are bleeding risks, there are alternative medicines but they aren't as effective. There are alternative therapies as well such as a filter but that's invasive and has additional risks to it. ...Read more
Also DVT and edema takes a while.
Clots may resorb or stabilize over six months.
Large pe with shock and near death can be slow to recover.
Once anticoagulated and edema resolved and good breathing and oxygenation, several more months.
If small, caught and treated early, faster recovery. ...Read more
My wife has pulmonary embolism from birth control she's 40 years old it's been 3 weeks and she still can't catch her breath how long should it take to start exercising.?
Depends: It depends on how much of your circulation was blocked by the pulmonary emboli and varies too with your cardiac and lung function before the event. It can take a month or two for a pe to resolve with anticoagulation and not all resolve completely. If shortness of breath persists longer than this then a doctor eval is required. ...Read more
Weeks: It usually takes weeks to start feeling better from an embolism to the lungs. It also depends if there is any damage to your heart. The body will start dissolving the clot and you can start to feel better sooner. The blood thinners prevent future clots while the body clears the current clots. ...Read more
PE: Before travelling after a pe we would want to have the patient's evidence for pulmonary obstruction cleared as well as ongoing effective anticoagulant therapy in place to minimize chances of a repeat event. The time frame can vary from patient to patient and is best discussed with your treating physician. ...Read more
As long as you are followed by a doc and take the right medication.
No need to stop exercise. ...Read more
How long should I expect to be off work for after being diagnosed with a large saddle pulmonary embolism?
Depends: On how sick you were and how long your were hospitalized. How vigorous is your occupation? Guess would be 4-6 weeks. ...Read more
Usually a blood clot that migrates from one area of the body to another. Most commonly a clot from a leg vein to the lung. It can also pertain to a clot, or atheromatous material that moves from one segment to another, such as cholesterol material in a carotid lesion moving into the ...Read more