Tagged ‘Pulmonary Embolism’

Journal Review

The YEARS Study – Simplified Diagnostic Management of PE

Filed Under: Tags: , , , , November 16th, 2017 2 Comments

Background

The clinical diagnosis of pulmonary embolism (PE) can be challenging given its variable presentation, requiring dependence on objective testing. Decision instruments such as PERC and the Wells’ score help stratify patients to low or high probability,
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Journal Review

Safety of PE Treatment with Rivaroxaban

Filed Under: Tags: , , , October 12th, 2017 Leave a Comment

The simplified PE Severity Index (sPESI) is one of several validated prognostic tools for acute pulmonary embolism (PE).  The European Society of Cardiology recommended the use of the sPESI to risk-stratify patients with acute PE into low risk (sPESI=0) and non-low risk (sPESI≥1) in order to guide treatment and disposition (Konstantinides 2014). 
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Journal Review

Long-Term Outcomes in Submassive PE After Thrombolytics

Filed Under: Tags: , , , , July 20th, 2017 2 Comments

There is scant evidence published on the long-term outcomes of systemic thrombolysis in acute submassive PE.  Many advocate for the use of systemic thrombolysis to reduce morbidity (complications from chronic pulmonary hypertension) and mortality.
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Journal Review

Age-Adjusted D-dimer (Using D-dimer Units)

Filed Under: Tags: , , , , April 27th, 2017 Leave a Comment

Risk stratification tools like the Well’s and Geneva scores are useful for identifying patients in whom a venous thromboembolism (VTE) can be excluded with a negative D-dimer. This allows for decreased utilization of computed tomographic pulmonary angiography,
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Journal Review

Prevalence of PE in First Time Syncope Admitted to the Hospital (PESIT Study)

Filed Under: Tags: , , , , January 12th, 2017 Leave a Comment

Pulmonary embolism (PE) kills 100,000 people in the United States each year making it the second most common cause of sudden, unexpected, nontraumatic death outside of the hospital. PE-related deaths can be unexpected because it can present with minimal symptoms,
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Journal Review

Normalization of Vital Signs Does Not Reduce the Probability of PE

Filed Under: Tags: , , October 27th, 2016 One Comment

In patients with symptoms of pulmonary embolism (PE), we often turn to vital signs, including heart rate, respiratory rate and pulse oximetry, as part of our initial impression of the patient. 
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