title: [Clinical analysis of unsuspected pulmonary thromboembolism at the emergency department].
abstract: OBJECTIVE
  Evaluate the degree of suspicion of pulmonary embolism (PE) in the emergency department (ED).
  
  
  METHODS
  We analyzed the cases of patients with TEP diagnosed during two years and compared group A (PE suspected) with group B (PE was not initially suspected).
  
  
  RESULTS
  57 cases of PE were admitted from ED. In 14 (25%) of them the PE was not suspected. There were statistically significant differences in the signs of deep venous thrombosis (more prevalent in group A), heart failure, and pleural effusion (more frequent in group B). The alternative diagnosis were mostly heart failure and pneumonia.
  
  
  CONCLUSIONS
  The patients with unsuspected PE do not have a different clinical profile. The PE is most of the times confused with heart failure and pneumonia.
authors.affiliation: Unidad de Urgencias, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona.
authors.forename: P
authors.initials: P
authors.lastname: Tudela
authors.forename: E
authors.initials: E
authors.lastname: Davant
authors.forename: M
authors.initials: M
authors.lastname: Monreal
authors.forename: A
authors.initials: A
authors.lastname: Segura
authors.forename: J
authors.initials: J
authors.lastname: Valencia
authors.forename: A
authors.initials: A
authors.lastname: Carreres
mesh_terms: D004630:Emergencies; D004636:Emergency Service, Hospital; D006801:Humans; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis*