| Diagnostic strategies in acute pulmonary embolism. | |
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MedLine Citation:
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PMID: 8495869 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A firm diagnosis of pulmonary embolism (PE) to prevent over- or undertreatment requires an integrated use of ventilation-perfusion lung scintigraphy (V/Q scan), a recent chest X-ray, bilateral selective pulmonary angiography and venous studies. The V/Q scan should be reported in terms of probabilities according to defined criteria and be combined with clinical probabilities before a treatment decision is made. A negative V/Q scan, a low-probability scan combined with low clinical suspicion or a high-probability scan with a high clinical suspicion is generally conclusive. Patients with intermediate (indeterminate) scan probability or with discordant scintigraphic clinical probability need further work-up with pulmonary angiogram or venous studies. If neither scintigraphy nor pulmonary angiography is available, accurate venous studies of the lower legs may guide treatment decision in patients suspected of having PE. We need more research to define if all patients with PE but only a minor or no clot burden proven by venous studies really need treatment. |
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Authors:
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U Nyman |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Review |
Journal Detail:
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Title: Haemostasis Volume: 23 Suppl 1 ISSN: 0301-0147 ISO Abbreviation: Haemostasis Publication Date: 1993 Mar |
Date Detail:
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Created Date: 1993-06-21 Completed Date: 1993-06-21 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0371574 Medline TA: Haemostasis Country: SWITZERLAND |
Other Details:
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Languages: eng Pagination: 220-6 Citation Subset: IM |
Affiliation:
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Department of Diagnostic Radiology, University of Lund, Malmö General Hospital, Sweden. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Angiography / adverse effects Diagnosis, Differential Humans Lung Diseases, Obstructive / radionuclide imaging Predictive Value of Tests Prospective Studies Pulmonary Artery / radiography Pulmonary Embolism / etiology, radiography, radionuclide imaging* Reproducibility of Results Sensitivity and Specificity Thrombophlebitis / complications, diagnosis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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