| [Acute pulmonary embolism]. | |
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MedLine Citation:
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PMID: 20824603 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Acute pulmonary embolism (APE) presents with a broad clinical spectrum ranging from an even asymptomatic course to sudden cardiac death. Because APE is potentially life-threatening every suspicion of APE has to be clarified promptly by validated diagnostic algorithms. On the basis of the patients haemodynamic instability high-risk APE and non-high-risk APE is differentiated. Based on the presence of shock or hypotension every patient with suspicion of APE should promptly be stratified as high-risk APE or non-high-risk APE. There is a considerable difference in the diagnostic and therapeutic algorithms between high-risk and non-high-risk APE. In suspicion of high-risk APE the patients require immediate diagnosis by multidetector CT or echocardiography and immediate recanalization of the occluded pulmonary arteries by thrombolysis or embolectomy. In haemodynamically stable patients sequential diagnostic workup and prompt therapeutic anticoagulation is recommended. |
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Authors:
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S Braun; J Beyer-Westendorf; I Platzek; G Höffken; M Halank |
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3042413 - Thromboembolic disease. 9121173 - Pulmonary embolism associated with acute stroke. 20067053 - Pulmonary rehabilitation in elderly patients with chronic obstructive pulmonary disease. |
Publication Detail:
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Type: English Abstract; Journal Article Date: 2010-09-07 |
Journal Detail:
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Title: Deutsche medizinische Wochenschrift (1946) Volume: 135 ISSN: 1439-4413 ISO Abbreviation: Dtsch. Med. Wochenschr. Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-08 Completed Date: 2010-10-27 Revised Date: 2010-11-22 |
Medline Journal Info:
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Nlm Unique ID: 0006723 Medline TA: Dtsch Med Wochenschr Country: Germany |
Other Details:
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Languages: ger Pagination: 1803-14; quiz 1814-8 Citation Subset: IM |
Affiliation:
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Medizinische Klinik I - Pneumologie, Universitätsklinikum Carl-Gustav-Carus, Dresden, Germany. Silke.Braun@uniklinikum-dresden.de |
Vernacular Title:
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Die akute Lungenembolie. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Algorithms Diagnosis, Differential Echocardiography Embolectomy Enoxaparin / therapeutic use Fibrinolytic Agents / therapeutic use Heparin / therapeutic use Heparin, Low-Molecular-Weight / therapeutic use Humans Pulmonary Embolism / diagnosis*, drug therapy, physiopathology, surgery* Risk Assessment Risk Factors Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Enoxaparin; 0/Fibrinolytic Agents; 0/Heparin, Low-Molecular-Weight; 0/tinzaparin; 9005-49-6/Heparin |
| Comments/Corrections | |
Erratum In:
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Dtsch Med Wochenschr. 2010 Nov;135(44):2208 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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