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HealthInfo Canterbury

Pulmonary embolism (PE)

About pulmonary embolism

A pulmonary embolism (also known as PE) is a very serious medical emergency. It is a blockage in one of the arteries (blood vessels) in your lungs, usually caused by a blood clot. The most common cause of a pulmonary embolism is a deep vein thrombosis (DVT), a clot in one of your legs.

Important!

Because a pulmonary embolism is very serious, if you have any of symptoms of a pulmonary embolism, especially if you have one or more risk factors, get immediate medical assistance – call an ambulance on 111.

Symptoms of pulmonary embolism

Blood clot travels up a vein into the lungs, where it blocks an arteryThe symptoms you may experience with a pulmonary embolism depend on whether it's a large or small clot, and exactly where it is. Small pulmonary embolisms don't always cause symptoms.

Symptoms include:

Risk factors for pulmonary embolism

You are more at risk of having a pulmonary embolism if you have had one or more of these risk factors:

Diagnosing and treating a pulmonary embolism

Your doctor will assess all your symptoms and risk factors and decide how likely it is that you have a pulmonary embolism. If it's possible you might have one, you will probably need to have a lung scan and maybe a blood test.

Some people are admitted to hospital, others are managed at home.

If the tests show you do have a pulmonary embolism you will most likely need to have blood-thinning medicines. Your GP may manage this treatment, with support from the Acute Demand Services, or they might refer you to the Haemostasis Service at Christchurch Hospital.

Reducing your risk of another pulmonary embolism

Your doctor may suggest some tests to find out what caused your pulmonary embolism. If it was caused by a DVT they may suggest you wear compression stockings – although these aren't right for everyone.

Some people may be at high risk of having another DVT or pulmonary embolism. If you are one of these people, you may be advised to continue taking blood-thinning medication, or to take it in circumstances where you might be at risk of another clot.

In the future, always tell your doctor or nurse that you've had a DVT, even if you don't know if it is relevant to what you're being treated for.

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Written by HealthInfo clinical advisers. Endorsed by clinical director, Haematology, Canterbury DHB. Updated June 2015.

See also:

Blood clotting disorders

Blood-thinning medicines for DVT and PE

Deep vein thrombosis

Deep vein thrombosis in pregnancy

Page reference: 49140

Review key: HIPEM-40562