RISK OF RECURRENT VENOUS THROMBOEMBOLISM IN PATIENTS WITH SUBSEGMENTAL PULMONARY EMBOLISM MANAGED WITHOUT ANTICOAGULANT

Introduction: The incidence of pulmonary embolism has been increasing, but its case-fatality rate is decreasing, suggesting a lesser severity of illness. Objectives: The main objective of the study is to find the risk of recurrent venous thromboembolism in patients with subsegmental pulmonary embolism managed without anticoagulant. Material and methods: This prospective study was conducted in SIMS, Lahore during 2021. The data was collected from 100 patients. In patients with venous thromboembolism (VTE) who have completed a finite course of therapeutic anticoagulation, we individualize assessment for the suitability of extending anticoagulant therapy indefinitely. Results: The data was collected from 100 patients. The CT showed multiple costal fractures, pneumothorax and atelectasis of the right lung. In addition, a subsegmental PE was found. The patient exhibits hemodynamic and respiratory stability, with blood pressure of 156/92 mmHg, pulse rate of 86/min, respiratory rate of 16/min and 100% saturation without the administration of oxygen. Conclusion: It is concluded that Incidental PE is a frequent finding on routine CT scans of the chest, with an incidence frequency of 1.1% in coronary CT and 3.6% in oncological CT