Pulmonary embolism: Difference between revisions

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'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
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| [[File:Siren.gif|30px|link=Pulmonary embolism resident survival guide]]|| <br> || <br>
| [[Pulmonary embolism resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
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{{Pulmonary embolism}}


{{Infobox_Disease |
'''For patient information, click [[{{PAGENAME}} (patient information)|here]]'''
  Name          = Pulmonary embolism |
 
  Image          = |
'''For economy class syndrome, click [[economy class syndrome|here]]'''
  Caption        = |
 
  DiseasesDB    = 10956 |
{{CMG}} {{ATI}}; {{AE}} {{CZ}}; {{Rim}}
  ICD10          = {{ICD10|I|26||i|26}} |
 
  ICD9          = {{ICD9|415.1}} |
{{SK}} PE; lung blood clot; blood clot-lung; embolism-pulmonary
  ICDO          = |
  OMIM          = |
  MedlinePlus    = 000132 |
}}
{{Pulmonary embolism}}
{{PE editors}}


==[[Pulmonary embolism overview|Overview]]==
==[[Pulmonary embolism overview|Overview]]==
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==[[Pulmonary embolism historical perspective|Historical Perspective]]==
==[[Pulmonary embolism historical perspective|Historical Perspective]]==


==[[Classification Scheme]]==
==[[Pulmonary embolism classification|Classification]]==
'''I:''' [[Pulmonary embolism classification scheme#Acute Pulmonary Embolism|Acute pulmonary embolism]] | [[Pulmonary embolism classification scheme#Chronic Pulmonary Embolism|Chronic pulmonary embolism]]
 
==[[Pulmonary embolism pathophysiology|Pathophysiology]]==


'''II:''' [[Pulmonary embolism classification scheme#Massive Pulmonary Embolism|Massive pulmonary embolism]] | [[Pulmonary embolism classification scheme#Submassive Pulmonary Embolism|Submassive pulmonary embolism]]  | [[Pulmonary embolism classification scheme#Low-risk Pulmonary Embolism|Low-risk pulmonary embolism]]
==[[Pulmonary embolism causes|Causes]]==


==[[Pulmonary embolism pathophysiology|Pathophysiology]]==
==[[Pulmonary embolism differential diagnosis|Differentiating Pulmonary Embolism from other Diseases]]==


==[[Pulmonary embolism epidemiology and demographics|Epidemiology and Demographics]]==
==[[Pulmonary embolism epidemiology and demographics|Epidemiology and Demographics]]==


==[[Pulmonary embolism risk factors|Risk factors]]==
==[[Pulmonary embolism risk factors|Risk Factors]]==


==[[Pulmonary embolism natural history|Natural History, Complications & Prognosis]]==
==[[Pulmonary embolism triggers|Triggers]]==


==[[Pulmonary embolism differential diagnosis|Differential Diagnosis]]==
==[[Pulmonary embolism natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
==[[Pulmonary embolism assessment of clinical probability|Pretest probability of PE]]==
[[Wells Score]] | [[Original Geneva Score]] | [[Revised Geneva Score]] | [[Simplified Geneva Score]] | [[PE Rule-out Criteria]] | [[Pulmonary embolism assessment of clinical probability#Summary of PE Clinical Probability based on Clinical Prediction Rules|Summary of PE Clinical Probability based on Clinical Prediction Rules]] | [[Pulmonary embolism assessment of clinical probability#Suspected Non High-risk PE Patients|ESC Guideline Recommendations]]


==Diagnosis==
==Diagnosis==
[[Pulmonary embolism history & symptoms|History & Symptoms]] | [[Pulmonary embolism physical examination|Physical Examination]] | [[Pulmonary embolism laboratory tests|Laboratory Tests]] | [[Pulmonary embolism arterial blood gas analysis|Arterial Blood Gas]] | [[Pulmonary embolism D-dimer|D-dimer]] | [[Pulmonary embolism biomarkers|Biomarkers]] | [[Pulmonary embolism electrocardiogram|Electrocardiogram]] | [[Pulmonary embolism chest x ray|Chest x ray]] | [[Pulmonary embolism ventilation/perfusion scan|Ventilation/Perfusion scan]] | [[Pulmonary embolism echocardiography|Echocardiography]] | [[Pulmonary embolism ultrasonography|Compression Ultrasonography]] | [[Pulmonary embolism CT|Chest CT]] | [[Pulmonary embolism CT pulmonary angiography|CT Pulmonary Angiography (CTPA)]] | [[Pulmonary embolism MRI|MRI]]
[[Pulmonary embolism diagnostic approach|Diagnostic Approach]] | [[Pulmonary embolism assessment of clinical probability and risk scores|Assessment of Clinical Probability and Risk Scores]] | [[Pulmonary embolism assessment of probability of subsequent VTE and risk scores|Assessment of Probability of Subsequent VTE and Risk Scores]] | [[Pulmonary embolism history & symptoms|History and Symptoms]] | [[Pulmonary embolism physical examination|Physical Examination]] | [[Pulmonary embolism laboratory findings|Laboratory Findings]] | [[Pulmonary embolism arterial blood gas analysis|Arterial Blood Gas Analysis]] | [[Pulmonary embolism D-dimer|D-dimer]] | [[Pulmonary embolism biomarkers|Biomarkers]] | [[Pulmonary embolism electrocardiogram|Electrocardiogram]] | [[Pulmonary embolism chest x ray|Chest X Ray]] | [[Pulmonary embolism ventilation/perfusion scan|Ventilation/Perfusion Scan]] | [[Pulmonary embolism echocardiography|Echocardiography]] | [[Pulmonary embolism compression ultrasonography|Compression Ultrasonography]] | [[Pulmonary embolism CT|CT]] | [[Pulmonary embolism MRI|MRI]]


==Treatment==
==Treatment==
===[[Pulmonary embolism treatment algorithm|Treatment Approach]]===
[[Pulmonary embolism treatment approach|Treatment Approach]] | [[Pulmonary embolism medical therapy|Medical Therapy]] | [[Pulmonary embolism IVC filter|IVC Filter]] | [[Pulmonary thrombectomy|Pulmonary Thrombectomy]] | [[Pulmonary thromboendarterectomy|Pulmonary Thromboendarterectomy]] | [[Pulmonary embolism discharge care and long term treatment|Discharge Care and Long Term Treatment]] | [[Pulmonary embolism prevention|Prevention]] | [[Pulmonary embolism cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Pulmonary embolism future or investigational therapies|Future or Investigational Therapies]]
===Medical Therapy:===
 
:*'''[[Pulmonary embolism medical therapy|Anticoagulation]]:''' [[Pulmonary embolism medical therapy#Heparin|Unfractionated heparin]] | [[Pulmonary embolism medical therapy#Heparin|Low molecular weight heparin]] | [[Pulmonary embolism medical therapy#Heparin|Factor Xa inhibitor]] | [[Pulmonary embolism medical therapy#Warfarin|Warfarin]]  
 
:*'''Fibrinolytic:''' [[Pulmonary embolism treatment thrombolysis|Thrombolysis]]
 
===[[Pulmonary embolism surgery|Surgery]]:===
:*[[Pulmonary thrombectomy|Catheter-Based Interventions]] | [[Pulmonary thrombectomy#Surgical thrombectomy|Surgical Embolectomy]] | [[Inferior vena cava filter|Inferior Vena Cava Filters]] | [[Thromboreductive Strategies]] | [[Pulmonary embolism angioplasty|Percutaneous Transluminal Venous Angioplasty and Stent Placement]] | [[Pulmonary thromboendarterectomy|Pulmonary Endarterectomy]]
 
==Guidelines==
 
===ACCP Guidelines===
[[ACCP guidelines for treatment of pulmonary embolism#ACCP Guidelines - Recommendations for Initial treatment of Acute PE (DO NOT EDIT)|Initial treatment of Acute PE]] | [[ACCP guidelines for treatment of pulmonary embolism#ACCP Guidelines - Recommendations for Long-term treatment of PE (DO NOT EDIT)|Guidelines for Long-term treatment of PE]] | [[ACCP guidelines for treatment of pulmonary embolism#ACCP Guidelines - Recommendations for anticoagulation in Chronic Thromboembolic Pulmonary Hypertension (DO NOT EDIT)|Chronic Thromboembolic Pulmonary Hypertension]]
 
===ACC/AHA Guidelines===
[[Pulmonary embolism recommendations for initial anticoagulation for acute PE| Guidelines for Initial Anticoagulation for Acute PE]] | [[ACC/AHA guidelines surgical embolectomy|Surgical embolectomy]] | [[Pulmonary embolism guidelines inferior vena cava filter#ACC/AHA Guidelines- Recommendations on IVC Filters in the Setting of Acute PE (DO NOT EDIT)|Inferior vena cava filters]] | [[Pulmonary embolism management recommendations for Iliofemoral Deep Vein Thrombosis|Iliofemoral DVT management guidelines]] | [[Compression therapy for DVT]] | [[Pulmonary embolism thromboreductive strategies#ACC/AHA Guidelines-Recommendations for Endovascular Thrombolysis and Surgical Venous Thrombectomy (DO NOT EDIT)|Thromboreductive Strategies]] | [[Pulmonary embolism angioplasty#ACC/AHA Guidelines- Recommendations for Percutaneous Transluminal Venous Angioplasty and Stenting (DO NOT EDIT)|Percutaneous Transluminal Venous Angioplasty and Stent Placement]]
 
===ESC Guidelines===
*[[Pulmonary embolism natural history#ESC Guidelines for Prognostic assessment (DO NOT EDIT)|Prognostic assessment]]


*'''Diagnosis:''' [[Pulmonary embolism guidelines diagnosis#ESC Guidelines for Suspected high-risk PE (DO NOT EDIT)|Suspected high-risk PE]] | [[Pulmonary embolism guidelines diagnosis#ESC Guidelines for Suspected non-high-risk PE (DO NOT EDIT)|Suspected non-high-risk PE]] | [[Pulmonary embolism guidelines diagnosis#Low clinical probability|Low clinical probability]] | [[Pulmonary embolism guidelines diagnosis#Intermediate clinical probability|Intermediate clinical probability]] | [[Pulmonary embolism guidelines diagnosis#High clinical probability)|High clinical probability]]
=== Follow-Up ===
[[Pulmonary embolism support group|Support group]]


*'''Treatment:''' [[ESC guidelines for treatment of pulmonary embolism#ESC Guidelines treatment High-risk pulmonary embolism (DO NOT EDIT)|High-risk pulmonary embolism]] | [[ESC guidelines for treatment of pulmonary embolism#ESC Guidelines treatment Non-high-risk pulmonary embolism (DO NOT EDIT)|Non-high-risk pulmonary embolism]] | [[ESC guidelines for treatment of pulmonary embolism#ESC Guidelines Recommendations Long-term treatment (DO NOT EDIT)|Long-term treatment]] | [[Pulmonary embolism guidelines inferior vena cava filter#ESC Guidelines - Recommendations for Use of IVC Filters (DO NOT EDIT)|Inferior vena cava filters]] | [[Pulmonary embolism treatment thrombolysis#ACC/AHA Guidelines- Recommendations for Fibrinolysis for Acute PE (DO NOT EDIT)|Thrombolysis]]
=== Special Scenarios ===
[[Pulmonary embolism special scenario pregnancy|Pregnancy]] | [[Pulmonary embolism special scenario cancer|Cancer]]


==Discharge Care==
== Trials ==
[[Pulmonary embolism patient discharge care|Discharge Care]] | [[Pulmonary embolism follow-up/recurrence|Follow-Up/Recurrence]] | [[Pulmonary embolism support group|Support group]]
[[Pulmonary embolism landmark trials|Landmark Trials]]


==[[Pulmonary embolism landmark trials|Landmark Trials]]==
== Case Studies ==
 
[[Pulmonary embolism case studies|Case #1]]
==[[Pulmonary embolism future perspective|Future Perspective]]==
 
==[[Pulmonary embolism case studies|Case studies]]==


==Related Chapters==
==Related Chapters==
*[[Venous thromboembolism]]
*[[Venous thromboembolism]]
*[[Deep venous thrombosis]]
*[[Deep venous thrombosis]]
 
{{WH}}
==External links==
{{WS}}
* [http://www.vdf.org/ Vascular Disease Foundation]
* [http://www.venousdiseasefoundation.org/ Venous Disease Coalition]
* [http://goldminer.arrs.org/search.php?query=pulmonary%20embolism Goldminer, Pulmonary embolism]
* [http://rad.usuhs.edu/medpix/medpix.html?mode=image_finder&action=search&srchstr=pulmonary%20embolism&srch_type=all#top Images of Pulmonary Embolism]
* [http://www.natfonline.org/ North American Thrombosis Forum]


[[Category:Hematology]]
[[Category:Hematology]]
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[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Mature chapter]]
[[Category:Mature chapter]]
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Latest revision as of 23:53, 29 July 2020
Resident
Survival
Guide

Pulmonary Embolism Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pulmonary Embolism from other Diseases

Epidemiology and Demographics

Risk Factors

Triggers

Natural History, Complications and Prognosis

Diagnosis

Diagnostic criteria

Assessment of Clinical Probability and Risk Scores

Pulmonary Embolism Assessment of Probability of Subsequent VTE and Risk Scores

History and Symptoms

Physical Examination

Laboratory Findings

Arterial Blood Gas Analysis

D-dimer

Biomarkers

Electrocardiogram

Chest X Ray

Ventilation/Perfusion Scan

Echocardiography

Compression Ultrasonography

CT

MRI

Treatment

Treatment approach

Medical Therapy

IVC Filter

Pulmonary Embolectomy

Pulmonary Thromboendarterectomy

Discharge Care and Long Term Treatment

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Follow-Up

Support group

Special Scenario

Pregnancy

Cancer

Trials

Landmark Trials

Case Studies

Case #1

Pulmonary embolism On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pulmonary embolism

CDC on Pulmonary embolism

Pulmonary embolism in the news

Blogs on Pulmonary embolism

Directions to Hospitals Treating Pulmonary embolism

Risk calculators and risk factors for Pulmonary embolism

For patient information, click here

For economy class syndrome, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] The APEX Trial Investigators; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Rim Halaby, M.D. [3]

Synonyms and keywords: PE; lung blood clot; blood clot-lung; embolism-pulmonary

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pulmonary Embolism from other Diseases

Epidemiology and Demographics

Risk Factors

Triggers

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Approach | Assessment of Clinical Probability and Risk Scores | Assessment of Probability of Subsequent VTE and Risk Scores | History and Symptoms | Physical Examination | Laboratory Findings | Arterial Blood Gas Analysis | D-dimer | Biomarkers | Electrocardiogram | Chest X Ray | Ventilation/Perfusion Scan | Echocardiography | Compression Ultrasonography | CT | MRI

Treatment

Treatment Approach | Medical Therapy | IVC Filter | Pulmonary Thrombectomy | Pulmonary Thromboendarterectomy | Discharge Care and Long Term Treatment | Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Follow-Up

Support group

Special Scenarios

Pregnancy | Cancer

Trials

Landmark Trials

Case Studies

Case #1

Related Chapters

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