| Current approach to the diagnosis of acute nonmassive pulmonary embolism. | |
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MedLine Citation:
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PMID: 21813530 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pulmonary embolism is a common and potentially lethal disease. Given the variable presentation and associated morbidity of this condition, an accurate and efficient diagnostic algorithm is required. Clinical pretest probability serves as the root of any diagnostic approach. We, thus, review several clinical decision rules that may help standardize this determination. Using a review of the literature, the accuracy, predictive values, and likelihood ratios for several diagnostic tests are described. The combination of these tests, based on the pretest probability of disease, can be used in a Bayesian fashion to make accurate treatment decisions. A completely noninvasive diagnostic algorithm for patients presenting with suspected acute pulmonary embolism is proposed. |
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Authors:
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Lisa K Moores; Christopher S King; Aaron B Holley |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 140 ISSN: 1931-3543 ISO Abbreviation: Chest Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-08-04 Completed Date: 2011-10-13 Revised Date: 2012-02-08 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
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Languages: eng Pagination: 509-18 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, The Uniformed Services University of the Health Sciences, Office for Student Affairs, Bethesda, MD 20814, USA. lmoores@usuhs.mil |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Angiography, Digital Subtraction Biological Markers / analysis Decision Support Techniques Enzyme-Linked Immunosorbent Assay Fibrin Fibrinogen Degradation Products / analysis Humans Lung / blood supply, pathology, radiography, ultrasonography Magnetic Resonance Imaging Pulmonary Embolism / diagnosis*, radiography, ultrasonography Sensitivity and Specificity Tomography, X-Ray Computed Ventilation-Perfusion Ratio |
| Chemical | |
Reg. No./Substance:
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0/Biological Markers; 0/Fibrin Fibrinogen Degradation Products; 0/fibrin fragment D |
| Comments/Corrections | |
Comment In:
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Chest. 2012 Jan;141(1):276-7; author reply 277-8
[PMID:
22215842
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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