How do you manage concurrent nonlife-threatening hemoptysis and acute pulmonary embolism?

Topics: Medical Oncology • Thrombosis • Hematology • Pulmonology • Critical Care • General Pulmonary • Pulmonary Vascular Disease • Pulmonary Embolus

Estimating blood loss from hemoptysis is not always reliable. The bleeding may be due to the PE itself. Is anticoagulation with any degree of hemoptysis safe?

Answer from: at Academic Institution

Hemoptysis can occur with PE when there is pulmonary infarction. However, the majority of pulm embolism cases have pleuritic chest pain without infarction. Significant hemoptysis is very rare in these cases and anticoagulation is nearly always safe. When hemoptysis continues or the volume is concern...

Comments

at Saint Lawrence Pulmonology
Great explanation & very good opinion.

at Hartford Health Care
I agree. It’s never comfortable to give AC t...

at Corewell Health
Dr. @Tapson: What could be the mechanism of pleuri...

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