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Symptoms

By Mayo Clinic staff

Pulmonary embolism symptoms can vary greatly, depending on how much of your lung is involved, the size of the clot and your overall health — especially the presence or absence of underlying lung disease or heart disease.

Common signs and symptoms include:

  • Shortness of breath. This symptom typically appears suddenly, and occurs whether you're active or at rest.
  • Chest pain. You may feel like you're having a heart attack. The pain may become worse when you breathe deeply, cough, eat, bend or stoop. The pain will get worse with exertion but won't go away when you rest.
  • Cough. The cough may produce bloody or blood-streaked sputum.

Other signs and symptoms that can occur with pulmonary embolism include:

  • Wheezing
  • Leg swelling
  • Clammy or bluish-colored skin
  • Excessive sweating
  • Rapid or irregular heartbeat
  • Weak pulse
  • Lightheadedness or fainting

When to see a doctor
Pulmonary embolism can be life-threatening. Seek immediate medical attention if you experience unexplained shortness of breath, chest pain or a cough that produces bloody sputum.

References
  1. Pulmonary embolism. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/pe/pe_what.html. Accessed June 26, 2009.
  2. Thompson BT, et al. Overview of acute pulmonary embolism. http://www.uptodate.com/home/index.html. Accessed June 26, 2009.
  3. Kline JA, et al. Pulmonary embolism and deep venous thrombosis. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practices. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2006. http://www.mdconsult.com/das/book/body/146574529-3/0/1365/250.html#4-u1.0-B0-323-02845-4..50092-5--cesec18_4265. Accessed June 29, 2009.
  4. Bauer KA, et al. Overview of causes of venous thrombosis. http://www.uptodate.com/home/index.html. Accessed June 26, 2009.
  5. Deep vein thrombosis. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00219. Accessed June 29, 2009.
  6. Tapson VF. Pulmonary embolism. In: Goldman L. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/146574529-5/0/1492/393.html#4-u1.0-B978-1-4160-2805-5..50104-X--cesec7_4150. Accessed June 29, 2009.
  7. Pulmonary hypertension. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/pah/pah_what.html. Accessed June 29, 2009.
  8. Ferri FF. Pulmonary embolism. In: Ferri FF. Ferri's Clinical Advisor 2009. Philadelphia, Pa.: Mosby Elsevier; 2009. http://www.mdconsult.com/das/book/body/146779547-3/0/1701/492.html#4-u1.0-B978-0-323-04134-8..50019-7--subchapter69_10424. Accessed June 30, 2009.
  9. General nuclear medicine. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=gennuclear. Accessed June 30, 2009.
  10. Catheter angiography. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=Angiocath. Accessed June 30, 2009.
  11. Lip GY, et al. Patient information: Deep vein thrombosis (DVT). http://www.uptodate.com/home/index.html. Accessed June 30, 2009.
  12. Deep vein thrombosis. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/Dvt/DVT_All.html. Accessed June 30, 2009.
  13. Rosenow EC (expert opinion). Mayo Clinic, Rochester, Minn. July 5, 2009.

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Sept. 26, 2009

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