Doctor insights on:
Treatment For Blood Clots In The Lung
Deoxygenated blood enters the lungs from the right side of the heart and travels to the lungs. When you inspire, oxygen flows into the lungs, transverses the capilliares and attaches to hemoglobin down a gradient. At the same time, co2 diffuses into the capilaries and is expelled with exhalation. Oxygen rich blood then flows to the left side of the heart and into the ...Read more
Now on lifelong blood thinning treatment after blood clots in lungs twice the past 2 years. What's the risk og getting new clots? INR is constant 2,5
Repeat clot risk: According to American College Chest Physicians: After a second episode of unprovoked VTE – 15 percent for the first year; 7.5 percent/year thereafter. This is without anticoagulation and assumes you had no risk factors for past episodes (genetic predisposition, trauma, surgery, pertinent medication etc.). Since recurrence can be deadly, we recommend blood thinners for life unless ..(see comment) ...Read more
See your doctor: There are many things doctors consider when recommending "best" treatment. Generally it comes down to a blood thinner (there are several) vs a filter (also many types) to prevent more big clots from going to the lung. The doctor must carefully assess the risks and benefits on an individual basis. "best" treatment is a case by case assessment. ...Read more
Heparin warfarin: Heparin (an anticoagulant is started immediately). Eventually, most patients are switched to a pill medication - typically Coumadin (aka warfarin) is started after a few days and continued for several months. Some patients have a filter placed in the large abdominal vein (inferior vena cava) to decrease the risk of subsequent clots. ...Read moreSee 1 more doctor answer
Can be dangerous: A blood clot in the lungs can be quite dangerous, especially if it blocks outflow of blood from the heart. Many times it arises from the veins of the legs, but they can also come from the pelvis or even arms. Patients with conditions such as cancer can be more prone to developing blood clots. Typically, people experience sudden onset of chest pain or shortness of breath. ...Read moreSee 2 more doctor answers
Friend on facebook just diagnosed with blood clots in the lung. In my country we never heard that term. Is that something new?
Ie Pulmonary embolus: Blood clots in the lungs are not new. The medical term for them is pulmonary embolism (pe). Pe can occur for many reasons, and often times result from blood clots in the veins in the legs that break off and get trapped in the vessels in the lungs. They can lead to breathing difficulty and even death if severe. Treatment involves blood thinners and/or surgery to dissolve or remove the clots. ...Read moreSee 2 more doctor answers
Leg clots: Most originate from clots in the large veins in the legs - sometimes from pelvic veins, especially women. Risk for clotting includes: smoking, hormones (estrogens - birth control pills), cancer, family history, obesity, prolonged immobilization, and recent surgery, advancing age. ...Read moreSee 2 more doctor answers
Yes: Stay out of the hospital (its one of the more common complications of being confined to a bed) stay active, don't smoke, and pick the right grandparents (risk for blood clots is partially hereditary). Other known risk factors include looooong flights or car rides without intermittent exercise (over 5 hours), obesity, contraceptive use, and heart failure. Prior clots are the biggest risk factor. ...Read moreSee 1 more doctor answer
CT scan of lungs: The beginning of all good testing is having the doctor take a good history and do a good physical exam. If the results are strongly suggestive of someone having a blood clot in the lungs (pulmonary embolism-pe), then a blood test called a d-dimer might be ordered. If that is low, you don't have a clot. If high, the gold standard of testing for a pe is a spiral cat scan of the lungs with infusion. ...Read more
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