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[Acute pulmonary embolism--a diagnostic challenge].

O H Skjønsberg

    Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
    |May 20, 1989
    PubMed
    Summary

    This review covers diagnostic methods for acute pulmonary embolism, evaluating their effectiveness and proposing a practical approach for clinical use.

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    Area of Science:

    • Pulmonology
    • Radiology
    • Emergency Medicine

    Context:

    • Acute pulmonary embolism (PE) is a critical condition requiring timely diagnosis.
    • Diagnostic strategies for PE have evolved with technological advancements.
    • Accurate diagnosis is essential to prevent morbidity and mortality.

    Purpose:

    • To review and compare various diagnostic methods for acute pulmonary embolism.
    • To assess the clinical utility and limitations of each diagnostic technique.
    • To propose an evidence-based, practical diagnostic algorithm for acute PE.

    Summary:

    • The article examines imaging modalities such as computed tomography pulmonary angiography (CTPA) and ventilation-perfusion (V/Q) scans.
    • It discusses the role of D-dimer testing and clinical probability scores (e.g., Wells score) in the diagnostic pathway.
    • A stepwise diagnostic approach integrating these tools is outlined to optimize diagnostic accuracy and efficiency.

    Impact:

    • Facilitates informed decision-making in the diagnosis of acute pulmonary embolism.
    • Aims to reduce unnecessary testing and improve patient outcomes.
    • Provides a framework for clinicians managing suspected acute PE cases.

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