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Venous Stents & Pulmonary EmbolismSeptember 13, 2019INVAMED Medical Affairs

What Is Pulmonary Embolism? Symptoms & Emergency Signs

What is pulmonary embolism? Learn the warning signs of this medical emergency and why immediate emergency care is critical if you suspect PE.

Pulmonary embolism (PE) is a serious medical condition that occurs when a blood clot travels to the lungs and blocks blood flow through the pulmonary arteries. Answering the question "what is pulmonary embolism" clearly matters because PE is a time-sensitive emergency — recognizing the warning signs and seeking immediate care can be lifesaving. This article provides general educational information; it is not a substitute for emergency medical evaluation.

What Is Pulmonary Embolism?

Most pulmonary emboli originate as blood clots in the deep veins of the legs or pelvis, a condition called deep vein thrombosis (DVT). If a piece of that clot breaks free, it can travel through the venous system, through the right side of the heart, and lodge in an artery supplying the lungs.

This blockage can reduce or stop blood flow to part of the lung, strain the heart, and lower oxygen levels in the blood. The severity of a PE depends on the size and location of the clot and the patient's underlying cardiopulmonary health.

Why Is Pulmonary Embolism a Medical Emergency?

A pulmonary embolism can rapidly become life-threatening because it directly affects the heart's ability to pump blood and the lungs' ability to oxygenate it. A large PE can cause the right side of the heart to fail acutely.

This is why any suspected pulmonary embolism requires immediate emergency medical attention. Do not wait to see if symptoms improve on their own — call emergency services or go to the nearest emergency department right away.

What Are the Warning Signs of Pulmonary Embolism?

Symptoms can develop suddenly and may include:

  • Sudden shortness of breath, even at rest
  • Sharp chest pain that may worsen with deep breathing or coughing
  • Rapid heart rate
  • Coughing, sometimes with blood-tinged sputum
  • Lightheadedness, fainting, or feeling like you might pass out
  • Leg swelling or pain, which may suggest an underlying DVT

Symptoms can vary widely — some people experience dramatic, sudden distress, while others have subtler, more gradual symptoms. Because PE can mimic other conditions like a heart attack or panic attack, professional emergency evaluation is essential for accurate diagnosis.

Who Is at Higher Risk for Pulmonary Embolism?

Certain factors are commonly associated with increased PE risk, including:

  • Recent surgery, hospitalization, or prolonged immobility
  • A personal or family history of blood clots
  • Active cancer or certain cancer treatments
  • Pregnancy and the postpartum period
  • Long-distance travel with prolonged sitting
  • Certain inherited or acquired clotting disorders

Having a risk factor does not mean a person will develop a PE, and PE can occasionally occur without any identifiable risk factor. If you have concerns about your personal risk, discuss them with a healthcare professional.

How Is Pulmonary Embolism Diagnosed and Treated?

In the emergency setting, clinicians typically use blood tests, CT pulmonary angiography, and other imaging to confirm a PE diagnosis. Treatment is determined by a physician based on clot burden and hemodynamic status, and may range from anticoagulation to catheter-based or systemic clot-directed therapies, or in select cases, mechanical support and inferior vena cava (IVC) filter placement when anticoagulation is not an option. These decisions are made by the treating medical team based on the individual patient's condition.

Frequently Asked Questions

What should I do if I think I am having a pulmonary embolism?

Seek emergency medical care immediately — call your local emergency number or go to the nearest emergency department. Do not attempt to self-diagnose or wait for symptoms to pass, as PE can worsen rapidly.

Can pulmonary embolism happen without warning?

Symptoms often appear suddenly, though their intensity can vary. Some patients have subtle or intermittent symptoms before a more severe event, which is why any new unexplained shortness of breath or chest pain warrants prompt evaluation.

Is pulmonary embolism always related to a leg blood clot?

Most PEs originate from DVT in the legs or pelvis, though clots can occasionally form elsewhere or the original source may not be identified. A physician can help determine the underlying cause through diagnostic testing.

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Reviewed by: INVAMED Medical Affairs

This content is prepared for educational purposes for healthcare professionals and does not constitute medical advice. Always consult clinical guidelines and product instructions for use.

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