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Prog Cardiovasc Dis. 2018 Mar - Apr;60(6):613-621. doi: 10.1016/j.pcad.2017.12.005. Epub 2017 Dec 29.

Pulmonary embolism: Care standards in 2018.

Author information

1
Internal Medicine Section, Sourasky Medical Center, Tel Aviv, Israel.
2
Department of Cardiology, Northwell Health, United States; Zucker School of Medicine, United States.
3
Vascular Medicine Section and Vascular Center, Massachusetts General Hospital, Boston, MA, United States. Electronic address: iweinberg@mgh.harvard.edu.

Abstract

Pulmonary embolism (PE) is a leading cause of cardiovascular mortality worldwide. Clinical presentation can be diverse, and clinicians should have a high index of suspicion regarding the diagnosis. Evaluation should include detailed history of possible risk factors, physical examination and laboratory tests that would support the diagnosis and help risk-stratify patients. Finally, a dedicated imaging study should be performed in order to make a definitive diagnosis. Decisions regarding short-term, immediate, treatment are dictated by PE risk category. Treatment of low and high-risk PE is relatively straightforward. But treating moderate risk PE is challenging since aggressive treatment is not devoid of potential harm. This review focuses on the acute and chronic treatment of PE. We present risk stratification, guidance as to treatment choice and insights into chronic treatment with available anticoagulants.

KEYWORDS:

Deep venous thrombosis; Pulmonary embolism; Venous thromboembolism

PMID:
29291427
DOI:
10.1016/j.pcad.2017.12.005
[Indexed for MEDLINE]

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