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What is thrombotic embolism?

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Final answer:

Thrombotic embolism is when a thrombus breaks free from the blood vessel wall, becomes an embolus, and obstructs blood flow, potentially causing life-threatening conditions such as heart attacks, strokes, or pulmonary embolism.

Step-by-step explanation:

Thrombotic Embolism Explained

A thrombotic embolism occurs when a thrombus, an aggregation of platelets, erythrocytes, and WBCs trapped within fibrin strands, breaks free from the vessel wall and becomes an embolus. This embolus can travel through the bloodstream and may eventually lodge in a vessel, thereby blocking blood flow to vital organs like the heart, brain, or lungs. Such blockages can result in medical emergencies such as a heart attack, stroke, or pulmonary embolism (PE).

Thrombi can form even in intact or minimally damaged vessels due to a variety of causes such as endothelial damage, venous stasis, or conditions promoting hypercoagulability like thrombocytosis. When not managed promptly, thrombi lead to a significant local increase in blood pressure, requiring the heart to work harder to maintain blood flow. A thrombus that dislodges and causes obstruction in the pulmonary artery is specifically referred to as pulmonary embolism, representing a life-threatening condition as it disrupts pulmonary circulation critical for gas exchange in the lungs.

Preventive measures and interventions, such as thrombolytic therapy, are crucial in the management of thrombotic strokes, where a blood clot blocks an artery in the brain. Administering thrombolytic agents can dissolve the clot, restore blood flow, and can prevent permanent damage if provided within the therapeutic window after the onset of the stroke.

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