Underdiagnosis of acute pulmonary embolism in physically active middle age man with syncope

Acute pulmonary embolism is a component of venous thromboembolism which may prove fatal if not suspected and subsequently treated. So, it is a disease that needs high clinical suspicion to prevent mortality and morbidity. Suspicion is very low in young healthy individuals in comparison to old age individuals with multiple co-morbid conditions. A physically active individual without genetic predisposition is considered to be at low risk for deep vein thrombosis and pulmonary embolism. Here, we present one overweight case who had 3 episodes of syncope in 4 days interval as well as breathlessness who came to our hospital and was diagnosed and treated with acute pulmonary thromboembolism