Document Detail


Pulmonary embolism.
MedLine Citation:
PMID:  12122832     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary embolism (PE) is a common problem for which prompt diagnosis and treatment is essential to minimize mortality. The clinical presentation is more variable than sudden dyspnea and chest pain, especially in the critical care patient. Recognition of venous thromboembolic (VTE) risk factors can help develop a good clinical suspicion for PE. A wide range of diagnostic tests are available to the clinician. The ventilation/perfusion scan, pulmonary arteriogram, and lower extremity investigations are still important for diagnosis. Other noninvasive tests such as spiral CT with venography, echocardiography, and D-dimers are becoming more accepted. Heparin is the mainstay of PE therapy, but thrombolytic treatment may be lifesaving in the unstable patient. VTE prophylaxis should be considered in all post-operative or critical care patients.
Authors:
Rayman W Lee
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Chest surgery clinics of North America     Volume:  12     ISSN:  1052-3359     ISO Abbreviation:  Chest Surg. Clin. N. Am.     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-07-18     Completed Date:  2003-01-13     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9208495     Medline TA:  Chest Surg Clin N Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-37, viii     Citation Subset:  IM    
Affiliation:
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Texas Medical Branch, 5.112 John Sealy Annex, 301 University Boulevard, Galveston, TX 77555-0561, USA. rayman.lee@utmb.edu
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Anticoagulants / therapeutic use
Bandages
Comorbidity
Embolectomy
Fibrin Fibrinogen Degradation Products / analysis
Fibrinolytic Agents / therapeutic use
Humans
Pulmonary Embolism / diagnosis*,  epidemiology,  physiopathology,  therapy*
Risk Factors
Thrombophilia / physiopathology
Vena Cava Filters
Venous Thrombosis / diagnosis
Ventilation-Perfusion Ratio
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Fibrin Fibrinogen Degradation Products; 0/Fibrinolytic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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