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Autopsy Incidence of Pulmonary Vascular Episodes. A Study of 218 Cases

Department of Pathology, Institute of Medical Education & Research, Chandigarh, North India

K. Ramesh

Department of Pathology, Institute of Medical Education & Research, Chandigarh, North India

Bharti Bhusnurmath

Department of Pathology, Institute of Medical Education & Research, Chandigarh, North India

Pulmonary thromboembolism is a rarity in India. This common clinical im pression has so far not been tested. Among 7000 autopsies between 1964 and 1980, a total of 218 cases (126 males and 92 females) were recorded to have thrombosis and/or embolism and/or infarction in the lungs. This incidence of 3.1% is far lower than that reported in the West and similar to the low incidence in Africa. Of the 218 cases, 42.6% had a cardiac disease, 18.3% had systemic septicemia, 13% had a malignancy, 12.8% had pulmonary disease, and the re maining suffered from diseases of liver, kidney, CNS, etc.

Of the 218 cases, 141 (64.6%) showed only infarcts, 40 (18.3%) had only thromboemboli, and 37 (16.9%) showed both events.

In view of the overlap among these three conditions and their essential pathophysiologic identity (thrombus/embolism/infarction), it is suggested that these be grouped under the name "pulmonary vascular episode."

Angiology, Vol. 37, No. 10, 744-750 (1986)
DOI: 10.1177/000331978603701008


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