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Pulmonary embolism: Care standards in 2018.
Ariel Borohovitz1, Mitchell D Weinberg2, Ido Weinberg3
1Internal Medicine Section, Sourasky Medical Center, Tel Aviv, Israel.
Progress in Cardiovascular Diseases
|January 2, 2018
Summary
Pulmonary embolism (PE) is a major cause of death globally. This review details PE diagnosis, risk stratification, and treatment strategies for acute and chronic cases, emphasizing challenges in moderate-risk patients.
Area of Science:
- Cardiology
- Pulmonology
- Vascular Medicine
Background:
- Pulmonary embolism (PE) represents a significant global cause of cardiovascular mortality.
- Diverse clinical presentations necessitate a high index of suspicion for accurate diagnosis.
Observation:
- Comprehensive evaluation involves patient history, physical examination, laboratory tests for diagnosis and risk stratification, and definitive imaging studies.
- Treatment decisions are guided by PE risk categories, with low and high-risk cases being relatively straightforward.
- Managing moderate-risk PE presents challenges due to the potential harms of aggressive treatment.
Findings:
- This review focuses on acute and chronic treatment strategies for pulmonary embolism.
- It provides guidance on risk stratification and treatment choices for PE.
- Insights into chronic PE management with current anticoagulants are presented.
Implications:
- Effective risk stratification is crucial for guiding appropriate pulmonary embolism treatment.
- Understanding the nuances of moderate-risk PE management is essential for optimizing patient outcomes.
- This review offers valuable insights for clinicians managing acute and chronic pulmonary embolism cases.
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