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  • 标题:Prognostic stratification of acute pulmonary embolism: Focus on clinical aspects, imaging, and biomarkers
  • 本地全文:下载
  • 作者:Luca Masotti ; Marc Righini ; Nicolas Vuilleumier
  • 期刊名称:Vascular Health and Risk Management
  • 印刷版ISSN:1176-6344
  • 电子版ISSN:1178-2048
  • 出版年度:2009
  • 卷号:5
  • 页码:567-575
  • DOI:10.2147/VHRM.S4861
  • 出版社:Dove Medical Press Ltd
  • 摘要:Pulmonary embolism (PE) represents a common disease in emergency medicine and guidelines for diagnosis and treatment have had wide diffusion. However, PE morbidity and mortality remain high, especially when associated to hemodynamic instability or right ventricular dysfunction. Prognostic stratification to identify high risk patients needing to receive more aggressive pharmacological and closer monitoring is of utmost importance. Modern guidelines for management of acute PE are based on risk stratification using either clinical, radiological, or laboratory findings. This article reviews the modern treatment of acute PE, which is customized upon patient prognosis. Accordingly the current risk stratification tools described in the literature such as clinical scores, echocardiography, helical computer tomography, and biomarkers will be reviewed.
  • 关键词:pulmonary embolism; prognosis; troponin; BNP; NT-proBNP; echocardiography; computer tomography
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