Tagged ‘Pulmonary’

Journal Review

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

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

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

Filed Under: Tags: , , October 27th, 2016 Leave a 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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