Pulmonary embolism

被引：0

作者：

Hobohm, Lukas ^{[1
,2
]}

Keller, Karsten ^{[1
,2
,3
]}

Konstantinides, Stavros ^{[1
]}

机构：

[1] Univ Med Mainz, Ctr Thrombose & Hamostase, Mainz, Germany

[2] Univ Med Mainz, Zentrum Kardiol, Kardiol 1, Langenbeckstr 1, D-55131 Mainz, Germany

[3] Univ Klinikum Heidelberg, Innere Med 7, Heidelberg, Germany

来源：

ZEITSCHRIFT FUR PNEUMOLOGIE | 2023年 / 20卷 / 05期

关键词：

Pulmonary embolism; prognosis; Risk stratification; Thrombolytic therapy; Anticoagulants; Aftercare; 2019 ESC GUIDELINES; MANAGEMENT; THROMBOSIS; DIAGNOSIS; SOCIETY;

D O I：

10.1007/s10405-023-00508-x

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Pulmonary embolism is a frequent cardiovascular disease which in recent years has shown a reduction in the mortality but an increase in the incidence. Due to the optimization of clinical probability scores and the interpretation of the D-dimer test, unnecessary examinations using computed tomography with respect to the exclusion of an acute pulmonary embolism can be avoided, also in pregnant women. The evaluation of the right ventricle contributes to a risk-adapted treatment. Treatment consists of anticoagulation, alone or in combination with reperfusion treatment, such as systemic thrombolysis and also catheter-assisted or surgical treatment. In addition to acute treatment of pulmonary embolisms, an adequate aftercare is important, particularly for the early detection of long-term sequelae. This review article summarizes the current recommendations of international guidelines for patients with pulmonary embolism, accompanied by clinical case examples and a critical discussion.

引用

页码：284 / 293

页数：10

共 25 条

[11] Ambulatory treatment of low-risk pulmonary embolism in fragile patients: a subgroup analysis of the multinational Home Treatment of Pulmonary Embolism (HoT-PE) Trial [J].

Hobohm, Lukas ;

Anusic, Toni ;

Konstantinides, Stavros V. ;

Barco, Stefano .

EUROPEAN RESPIRATORY JOURNAL, 2020, 56 (04)

[12] A Multidisciplinary Pulmonary Embolism Response Team Initial 30-Month Experience With a Novel Approach to Delivery of Care to Patients With Submassive and Massive Pulmonary Embolism [J].

Kabrhel, Christopher ;

Rosovsky, Rachel ;

Channick, Richard ;

Jaff, Michael R. ;

Weinberg, Ido ;

Sundt, Thoralf ;

Dudzinski, David M. ;

Rodriguez-Lopez, Josanna ;

Parry, Blair A. ;

Harshbarger, Savanah ;

Chang, Yuchiao ;

Rosenfield, Kenneth .

CHEST, 2016, 150 (02) :384-393

[13] Functional and Exercise Limitations After a First Episode of Pulmonary Embolism Results of the ELOPE Prospective Cohort Study [J].

Kahn, Susan R. ;

Hirsch, Andrew M. ;

Akaberi, Arash ;

Hernandez, Paul ;

Anderson, David R. ;

Wells, Philip S. ;

Rodger, Marc A. ;

Solymoss, Susan ;

Kovacs, Michael J. ;

Rudski, Lawrence ;

Shimony, Avi ;

Dennie, Carole ;

Rush, Christopher ;

Geerts, William H. ;

Aaron, Shawn D. ;

Granton, John T. .

CHEST, 2017, 151 (05) :1058-1068

[14] Trends in thrombolytic treatment and outcomes of acute pulmonary embolism in Germany [J].

Keller, Karsten ;

Hobohm, Lukas ;

Ebner, Matthias ;

Kresoja, Karl-Patrik ;

Muenzel, Thomas ;

Konstantinides, Stavros, V ;

Lankeit, Mareike .

EUROPEAN HEART JOURNAL, 2020, 41 (04) :522-529

[15] The post-PE syndrome: a new concept for chronic complications of pulmonary embolism [J].

Klok, F. A. ;

van der Hulle, T. ;

den Exter, P. L. ;

Lankeit, M. ;

Huisman, M. V. ;

Konstantinides, S. .

BLOOD REVIEWS, 2014, 28 (06) :221-226

[16] The 2019 ESC Guidelines on the Diagnosis and Management of Acute Pulmonary Embolism [J].

Konstantinides, Stavros V. ;

Meyer, Guy .

EUROPEAN HEART JOURNAL, 2019, 40 (42) :3453-3455

[17]

Konstantinides SV, 2019, EUR RESPIR J, V54, DOI [10.1183/13993003.01647-2019, 10.1093/eurheartj/ehz405]

[18] 2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism The Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC) [J].

Konstantinides, Stavros V. ;

Torbicki, Adam ;

Agnelli, Giancarlo ;

Danchin, Nicolas ;

Fitzmaurice, David ;

Galie, Nazzareno ;

Gibbs, J. Simon R. ;

Huisman, Menno V. ;

Humbert, Marc ;

Kucher, Nils ;

Lang, Irene ;

Lankeit, Mareike ;

Lekakis, John ;

Maack, Christoph ;

Mayer, Eckhard ;

Meneveau, Nicolas ;

Perrier, Arnaud ;

Pruszczyk, Piotr ;

Rasmussen, Lars H. ;

Schindler, Thomas H. ;

Svitil, Pavel ;

Noordegraaf, Anton Vonk ;

Zamorano, Jose Luis ;

Zompatori, Maurizio .

EUROPEAN HEART JOURNAL, 2014, 35 (43) :3033-3080

[19] Outcomes after extracorporeal membrane oxygenation for the treatment of high-risk pulmonary embolism: a multicentre series of 52 cases [J].

Meneveau, Nicolas ;

Guillon, Benoit ;

Planquette, Benjamin ;

Piton, Gael ;

Kimmoun, Antoine ;

Gaide-Chevronnay, Lucie ;

Aissaoui, Nadia ;

Neuschwander, Arthur ;

Zogheib, Elie ;

Dupont, Herve ;

Pili-Floury, Sebastien ;

Ecarnot, Fiona ;

Schiele, Francois ;

Deye, Nicolas ;

de Prost, Nicolas ;

Favory, Raphael ;

Girard, Philippe ;

Cristinar, Mircea ;

Ferre, Alexis ;

Meyer, Guy ;

Capellier, Gilles ;

Sanchez, Olivier .

EUROPEAN HEART JOURNAL, 2018, 39 (47) :4196-4204

[20] The Relationship Between the Right Ventricle and its Load in Pulmonary Hypertension [J].

Noordegraaf, Anton Vonk ;

Westerhof, Berend E. ;

Westerhof, Nico .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 69 (02) :236-243

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