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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, usually in only one leg
  • 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_all.html. Accessed Aug. 3, 2011.
  2. Thompson BT, et al. Overview of acute pulmonary embolism. http://www.uptodate.com/home/index.html. Accessed Aug. 3, 2011.
  3. Kline JA, et al. Pulmonary embolism and deep vein thrombosis. In: Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed Aug. 3, 2011.
  4. Bauer KA, et al. Overview of the causes of venous thrombosis. http://www.uptodate.com/home/index.html. Accessed Aug. 3, 2011.
  5. Deep vein thrombosis. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00219. Accessed Aug. 3, 2011.
  6. Weitz JI. Pulmonary embolism. In: Goldman L, et al. Goldman's Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Aug. 3, 2011.
  7. Rosenow EC (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 21, 2011.
  8. Troncales FD, et al. Pulmonary embolism. In: Ferri FF. Ferri's Clinical Advisor 2012: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/linkTo?type=bookPage&isbn=978-0-323-05611-3&eid=4-u1.0-B978-0-323-05611-3..00025-2--sc0355. Accessed Aug. 16, 2011.
  9. General nuclear medicine. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=gennuclear. Accessed Aug. 16, 2011.
  10. Catheter angiography. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?PG=Angiocath. Accessed Aug. 16, 2011.
  11. Lip GY, et al. Patient information: Deep vein thrombosis (DVT). http://www.uptodate.com/home/index.html. Accessed Aug. 16, 2011.
  12. Deep vein thrombosis. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/Dvt/DVT_All.html. Accessed Aug. 16, 2011.
  13. FDA expands use of Xarelto to treat, reduce recurrence of blood clots. U.S. Food and Drug Administration. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm326654.htm?source=govdelivery. Accessed Jan. 2, 2013.
DS00429 Jan. 19, 2013

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