Diagnosing Pulmonary Embolism at Cleveland Clinic
You can get a pulmonary embolism when a blood clot moves through your veins and into your pulmonary arteries. These clots usually come from your arm or leg. And they can cause problems with blood flow and oxygen levels in your lungs.
They usually start with blood “pooling” in a part of your body from inactivity after surgery or bed rest. Injuries can also cause clots, as can many different heart conditions or blood clotting disorders.
A pulmonary embolism is treatable if caught early. So, it’s important to react quickly to the warning signs — chest pain, rapid heartbeat, coughing up bloody mucus and shortness of breath.
Left untreated, a PE can damage your lungs and cause heart failure — or even death. It’s important to find healthcare providers who know what it takes to correctly diagnose pulmonary embolism and start the best treatment for your needs.
What to expect during diagnosis
We know that finding out you may have a pulmonary embolism can be stressful. We’ll likely be moving fast to pinpoint what’s going on and start treatment quickly — often in less than 30 minutes.
But that doesn’t mean we’re moving so fast that we leave you out of the equation. You stay at the center of your care whether you’re in the ER or talking with us about follow-up care and the next steps.
Our expert providers are here to guide you through every step. They’ll ask a lot of questions to find out what kind of symptoms you have and how long you’ve had them. They’ll also want to know about any other health conditions you have and if anyone if your family has had blood clots.
You’ll have a physical exam and get orders for tests.
Testing for pulmonary embolism
We use a mix of tests to find out if you have a pulmonary embolism, like:
Meet Our Pulmonary Embolism Team
Cleveland Clinic’s focus on team-based care means you get a care team of providers from different specialties handpicked for your needs, like:
This team works together to confirm a diagnosis, quickly start emergency treatment and then create a care plan focused on helping you manage risk factors that could cause future pulmonary embolisms.
0 Providers Who Treat Pulmonary Embolisms
Locations
Our healthcare providers see patients at convenient locations throughout Northeast Ohio and Florida.
Treating Pulmonary Embolism at Cleveland Clinic
Usually, we’ll have you stay in the hospital for PE treatment. This lets your care team keep a close eye on you. How long you’ll stay, and the kind of treatment you’ll have, will depend on how large and severe the blood clot is. Your team may recommend:
Anticoagulants
Anticoagulant medications are the most common treatment for PE. These drugs (also known as blood thinners) lower your blood’s ability to clot and can prevent future ones. Your care team will decide what medication will work best for you — and how long you’ll need to take it.
Compression stockings
You may know them as support hose — but compression stockings do more than help tired legs. We may recommend you wear them to improve blood flow and keep blood from pooling in your legs.
Catheters or surgery
Life-threatening pulmonary embolisms may need an embolectomy to remove the clot. You may also need one if you haven’t responded to other treatment.
To keep blood clots from entering your lungs again, your care team may decide to place a vena cava filter inside your body’s largest vein. This filter traps clots before they reach your lungs.
Thrombolytic therapy
You may also need clot-busting drugs (thrombolytic medications). Particularly if you’re in the intensive care unit (ICU) or have low blood pressure or other PE-related complications.
Life After a Pulmonary Embolism
It can take months, or even years, for a PE to go away completely. And, sometimes, it can happen again. And again. That means you’ll need ongoing care to help that. You’ll have regular appointments with your care team so they can check on your progress. They’ll have you do frequent lab tests so they can see how you’re responding to any medications.
You’ll want to do things to keep blood clots from re-forming. Regular exercise is good. So is moving around a few minutes every hour. Elevating your legs for 30 minutes twice a day can also help. As can drinking plenty of fluids and avoiding alcohol, caffeine and tobacco products.
Taking the Next Step
While a pulmonary embolism can be serious, it’s also treatable. Not just immediately (which is crucial for recovery) but also after you recover. Emergency care can save your life. Managing your risks can help keep more blood clots at bay. Our providers are here to help make this happen. They’ll build a personalized treatment plan that focuses on you. And they’ll answer your questions, listen to your concerns and help you move forward through treatment and follow-up care.
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Getting an appointment with Cleveland Clinic’s pulmonary embolism experts is easy. We’ll help you get the care you need.
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