바로가기메뉴

본문 바로가기 주메뉴 바로가기

A Case of Massive Pulmonary Thromboembolism in a Young Man Attribute to Computer Gaming

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2009, v.66 no.3, pp.211-215




  • Downloaded
  • Viewed

Abstract

Pulmonary thromboembolism occurs in old patients with risk factors, such as, immobilization, chronic medical disease, trauma, a hereditary hypercoagulable state, and others. However, we experienced a young man with a massive pulmonary thromboembolism attributed to immobilization due to computer gaming. The patient had been playing computer games in a seated position for at least five hour continually, and for twelve hours per day over a two-week period. The 36-year-old patient was transferred to our institute rule out the possibility of an acute myocardial infarction. Computer tomography revealed intraluminal filling defects in the distal main pulmonary artery and the left popliteal vein. He received thrombolytic therapy and subsequently recovered without complications. This case raises the possibility that prolonged computer gaming is a risk factor of thromboembolism in young adults.

keywords
Pulmonary embolism, Deep vein thrombosis, Computer gaming

Reference

1.

Heit JA, Silverstein MD, Mohr DN, Petterson TM, O'Fallon WM, Melton LJ 3rd. Risk factors for deep vein thrombosis and pulmonary embolism: a populationbased case-control study. Arch Intern Med 2000;160:809-15.

2.

Francis CW. Clinical practice. Prophylaxis for thromboembolism in hospitalized medical patients. N Engl J Med 2007;356:1438-44.

3.

Beasley R, Raymond N, Hill S, Nowitz M, Hughes R. eThrombosis: the 21st century variant of venous thromboembolism associated with immobility. Eur Respir J 2003;21:374-6.

4.

Rosendaal FR, Koster T, Vandenbroucke JP, Reitsma PH. High risk of thrombosis in patients homozygous for factor V Leiden (activated protein C resistance). Blood 1995;85:1504-8.

5.

Bick RL. Coagulation abnormalities in malignancy: a review. Semin Thromb Hemost 1992;18:353-72.

6.

Kucher N, Goldhaber SZ. Management of massive pulmonary embolism. Circulation 2005;112:e28-32.

7.

Dalen JE. Pulmonary Embolism: what have we learned since Virchow? Natural history, pathophysiology, and diagnosis. Chest 2002;122:1440-56.

8.

Simpson K. Shelter deaths form pulmonary embolism. Lancet 1940;I:744.

9.

Homans J. Thrombosis of the deep leg veins due to prolonged sitting. N Engl J Med 1954;250:148-9.

10.

Cruickshank JM, Gorlin R, Jennett B. Air travel and thrombotic episodes: the economy class syndrome. Lancet 1988;2:497-8.

11.

Alberty-Ryöppy A, Juntunen J, Salmi T. Femoral neuro pathy following anticoagulant therapy for "economy class syndrome" in a young woman. Acta Chir Scand 1985;151:643-5.

12.

Lee H. A new case of fatal pulmonary thromboembolism associated with prolonged sitting at computer in Korea. Yonsei Med J 2004;45:349-51.

Tuberculosis & Respiratory Diseases