Erol TÜLÜMEN, Şevki Hakan EREN, Hacı Mehmet ÇALIŞKAN, Murat Hüseyin DEMİRBAŞ, Ali TANER

Pulmoner embolide gözden kaçan semptomlar: Vertigo ve senkop

Pulmoner emboli (PE) acil servislerde sık karşılaşılan, zor tanı konulan ve mortalitesi oldukçayüksek pulmoner acillerden biridir. Pulmoner emboli vakaları acil servislere çok farklı klinikbulgularla gelebilir. En sık karşılaşılan semptomları ani başlayan dispne, plöretik göğüs ağrısı,öksürük, hemoptizi, taşipne ve taşikardidir. Senkop, pulmoner emboli olgularında nadir görülen ilkbaşvuru sebebi olmasına rağmen özellikle masif pulmoner emboli vakalarında daha sıkgözlenmektedir ve acilen tanı konulup tedavi edilmediği takdirde mortalitesi çok yüksektir. Bunedenle acil servise senkop ile başvuran hastaların ayırıcı tanısında pulmoner emboli mutlakaakılda bulundurulmalıdır. Bu çalışmada senkop ve vertigo şikayetleri ile acil servise başvuran, yada hastane içerisinde ani hipotansiyon ve senkop geçiren beş masif pulmoner emboli olgususunuldu.

Unnoticed symptoms of p ulmonary embolism: Vertigo and syncope

Pulmonary embolism (PE) is one of the pulmonary emergent disease which hardly diagnosed, highmortality rates, and frequently seen in emergency department. PE cases are seen many differentclinical symptoms. Most common symptoms are sudden started dyspnea, pleuritic chest pain,coughing, hemoptysis, tachypnea, and tachycardia. Syncope is rarely first referring symptom ofthe PE cases, however, in massif PE cases syncope is more frequently seem and unless urgentdiagnosis and treatment, mortality rates is quite high. Therefore, in differential diagnosis of thesyncope patients PE must keep in mind. In this study, five massive PE cases were presented whoadmitted to emergency service with syncope and vertigo symptoms.

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