17 research outputs found
Traumatic Splenic Infarction and Pulmonary Embolism: A Case Report of Rare Radiological Finding
Prognostic Value of Echocardiographic Right/Left Ventricular End-Diastolic Diameter Ratio in Patients With Acute Pulmonary Embolism
An unusual presentation of massive pulmonary embolism mimicking septal acute myocardial infarction treated with tenecteplase
A case of thrombolysis in acute pulmonary embolism with right atrial thrombus: comparing current and past guidelines
Deep Vein Thrombosis Among Patients Entering Cardiac Rehabilitation After Coronary Artery Bypass Surgery
Non-invasive diagnostic work-up of patients with clinically suspected pulmonary embolism; results of a management study
Cardiac biomarkers for risk stratification in non-massive pulmonary embolism: a multicenter prospective study
Treatment options and strategies for acute severe pulmonary embolism
Pulmonary thromboembolism (PE) is the third most frequent cause of cardiovascular death after ischaemic heart disease and stroke. In fatal PE, 2/3 of patients die within first hour of presentation. There is a clinical impetus to rapidly recognize, risk-stratify and appropriately treat patients with acute severe PE. Current recommendations present conflicting classification systems, and there is often some confusion in the clinical evaluation and management of patients with acute severe PE. This review presents a series of real clinical cases, which illustrate the available treatment options, ranging from conservative therapy to thrombolysis through to percutaneous catheter fragmentation and open surgical embolectomy. We evaluate the evidence for the various strategies and propose an algorithm for clinicians with a focus on early risk stratification and timely referral. This is particularly relevant to regional and remote centres, as well as secondary and tertiary institutions