Pulmonary embolism
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Pulmonary embolism | |
ICD-10 | I26 |
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ICD-9 | 415.1 |
DiseasesDB | 10956 |
MedlinePlus | 000132 |
Pulmonary Embolism Microchapters |
Diagnosis |
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Pulmonary Embolism Assessment of Probability of Subsequent VTE and Risk Scores |
Treatment |
Follow-Up |
Special Scenario |
Trials |
Case Studies |
Pulmonary embolism On the Web |
The APEX Trial Investigators, Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Ujjwal Rastogi, MBBS [3]
Overview
Historical Perspective
Classification Scheme
I: Acute pulmonary embolism | Chronic pulmonary embolism
II: Massive pulmonary embolism | Submassive pulmonary embolism | Low-risk pulmonary embolism
III: Non-thrombotic pulmonary embolism
Pathophysiology
Epidemiology and Demographics
Risk factors
Natural History, Complications & Prognosis
Differential Diagnosis
Pretest probability of PE
Diagnosis
Diagnosis Algorithm | CT equipped Hospitals | CT Non-equipped Hospitals | Low risk outpatient population | History & Symptoms | Physical Examination | Laboratory Tests | Electrocardiogram | CT | Ventilation/Perfusion scan | Echocardiography or Ultrasound | Chest x ray | MRI | Low Probability Diagnostic Tests
Treatment
- Anticoagulation: Heparin | Low molecular weight heparin | Factor Xa inhibitor | Warfarin
- Fibrinolytic: Thrombolysis
Guidelines
ACC/AHA Guidelines
Guidelines for Initial Anticoagulation for Acute PE | Surgical embolectomy | Inferior vena cava filters | Iliofemoral DVT management guidelines | Compression therapy for DVT | Thromboreductive Strategies | Percutaneous Transluminal Venous Angioplasty and Stent Placement
ESC Guidelines
- Diagnosis: Suspected high-risk PE | Suspected non-high-risk PE ( Low clinical probability | Intermediate clinical probability | High clinical probability )
- Treatment: High-risk pulmonary embolism | Non-high-risk pulmonary embolism | Long-term treatment | Inferior vena cava filters | Thrombolysis
Discharge Care
Discharge Care | Follow-Up/Recurrence | Support group