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| {{familytree | | | | | | | | | | | A01 | | | | | | | | | | | | A01= '''Assess the severity of pulmonary embolism'''}} | | {{familytree | | | | | | | A01 | | | | | | | | A01= }} |
| {{familytree | | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | | | }} | | {{familytree | | | | | | | |!| | | | | | | | | }} |
| {{familytree | | | B01 | | | | | | B02 | | | | | | B03 | | | | B01= '''High-risk PE''' <br> ''(also know as massive PE)'' <br> Cardiogenic shock <br> OR<br> Persistent hypotension (≤90mmHg)<br> OR<br> Drop of the blood pressure by ≥ 40mmHg for > 15 min| B02= '''Intermediate-risk PE''' <br> ''(also know as submassive PE)'' <br> Right ventricular dysfunction <br> AND/OR <br> Myocardial injury (Troponin +)| B03= '''Low-risk PE''' <br> ''(also know as non-massive PE)'' <br> No shock <br> AND <br> No hypotension <br> AND <br> No right ventricular dysfunction <br> AND <br> No myocardial injury (Troponin -)}} | | {{familytree | | | | | | | B01 | | | | | | | | B01= }} |
| {{familytree | | | |!| | | | | | | |!| | | | | | | |!| | | | | }} | | {{familytree | | | |,|-|-|-|^|-|-|-|.| | | | | }} |
| {{familytree | | | C01 | | | | | | C02 | | | | | | C03 | | | | C01= '''Is there any contraindication for fibrinolytic therapy?'''| C02= '''Is there any contraindication for anticoagulation therapy?'''| C03= '''Is there any contraindication for anticoagulation therapy?'''}} | | {{familytree | | | C01 | | | | | | C02 | | | | C01= | C02= }} |
| {{familytree | |,|-|^|-|.| | | |,|-|^|-|.| | | |,|-|^|-|.| | | }} | | {{familytree | | | |!| | | | | | | |!| | | | | }} |
| {{familytree | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D01= NO| D02= YES| D03= NO|D04= YES| D05= NO| D06= YES}} | | {{familytree | | | D01 | | | | | | |!| | | | | D01= }} |
| {{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | }} | | {{familytree | | | |!| | | | | | | |!| | | | | }} |
| {{familytree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E01= Fibrinolytic therapy| E02= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy| E03= Anticoagulation therapy <br> AND <br> Hospital admission|E04= IVC filter <br> AND <br>Hospital admission| E05= Anticoagulation therapy<br> AND <br> Early discharge/home treatment| E06= IVC filter <br> AND <br> Early discharge/home treatment}} | | {{familytree | | | E01 | | | | | | |!| | | | | E01= }} |
| {{familytree | |!| | | | | | | | |!| |!| | | | }} | | {{familytree | |,|-|^|-|.| | | | | |!| | | | | }} |
| {{familytree | F01 | | | | | | | | F02 | | | | F01= '''Does the patient fail to improve''' <br> OR <br> '''Develop cardiogenic shock?'''<br> OR <br> '''Develop hypotension?'''| F02= '''Does the patient fail to improve''' <br> OR <br> '''Develop cardiogenic shock?'''<br> OR <br> '''Develop hypotension?'''}} | | {{familytree | F01 | | F02 | | | | F03 | | | | | | | | F01= | F02= | F03= }} |
| {{familytree |,|^|-|-|-|.| | | |,|-|^|-|.| | | | }} | | {{familytree | |!| | | |!| | | |,|-|^|-|.| | | }} |
| {{familytree | F03 | | F04 | | F05 | | F06 | | | F03= YES| F04= NO| F05= YES| F06= NO}} | | {{familytree | |!| | | G01 | | G02 | | G03 | | | | | | G01= | G02= | G03=}} |
| {{familytree | |!| | | |!| | | |!| | | |!| }}
| | {{familytree | |!| | | | | | | |!| | | |!| | | }} |
| {{familytree | G01 | | G02 | | G03 | | G04 | | G01= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy|G02= Continue with the same treatment| G03= '''Is there any contraindication for fibrinolytic therapy?'''| G04= Continue with the same treatment}}
| | {{familytree | H01 | | | | | | H02 | | H03 | | | | | | H01= | H02= | H03=}} |
| {{familytree | | | | | | | |,|-|^|-|.| | | }} | |
| {{familytree | | | | | | | H01 | | H02 | | H01= NO| H02= YES}}
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| {{familytree | | | | | | | |!| | | |!| | | | }}
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| {{familytree | | | | | | | I01 | | I02 | | I01=Hold anticoagulation and give thrombolytics| I02= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy}} | |
| {{familytree | | | | | | | |!| | | }}
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| {{familytree | | | | | | | J01 | | J01= '''Does the patient fail to improve''' <br> OR <br> '''Develop cardiogenic shock?'''<br> OR <br> '''Develop hypotension?'''}}
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| {{familytree | | | | | |,|-|^|-|.| }}
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| {{familytree | | | | | K01 | | K02 | K01= YES | K02= NO }}
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| {{familytree | | | | | |!| | | |!| | | }}
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| {{familytree | | | | | L01 | | L02 | L01= Surgical pulmonary embolectomy <br> OR <br> Percutaneous catheter embolectomy| L02= Continue with the same treatment}}
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| {{familytree/end}} | | {{familytree/end}} |