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Related Experiment Videos

[Diagnostic approach to pulmonary embolism]

P Leuenberger1, G Pralong

  • 1Division de pneumologie, Centre Hospitalier Universitaire Vaudois, Lausanne.

Schweizerische Medizinische Wochenschrift
|June 23, 1998
PubMed
Summary

Diagnosing pulmonary embolism is challenging due to vague symptoms and uncertain tests. New strategies improve diagnosis, reducing the need for invasive procedures like pulmonary angiography.

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Area of Science:

  • Cardiology
  • Pulmonology
  • Radiology

Context:

  • Pulmonary embolism (PE) is a frequent yet challenging diagnosis.
  • Non-specific symptoms and diagnostic test uncertainties complicate PE detection.
  • Current diagnostic approaches involve clinical probability assessment and paraclinical testing.

Purpose:

  • To review the diagnostic approach for pulmonary embolism.
  • To propose decisional algorithms for efficient paraclinical test selection.
  • To integrate pulmonary embolism and deep-vein thrombosis diagnosis.

Summary:

  • The study reviews diagnostic strategies for pulmonary embolism (PE), emphasizing clinical probability assessment.
  • Decisional algorithms are proposed, treating PE and deep-vein thrombosis (DVT) as a unified disease process.
  • These strategies aim to optimize paraclinical test selection and reduce reliance on invasive tests.

Impact:

  • Proposed strategies can reduce the necessity of invasive tests like pulmonary angiography and leg phlebography.
  • Effective identification of patients requiring anticoagulant therapy is facilitated.
  • Non-critical patients can be identified, avoiding unnecessary treatment.

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