Management of Acute Pulmonary Embolism (Contemporary by Stavros V. Konstantinides, S.Z. Goldhaber

By Stavros V. Konstantinides, S.Z. Goldhaber

This sensible quantity highlights conventional, novel, and evolving features of the analysis and therapy of pulmonary embolism (PE). The members contain a world workforce of specialists. vital facets of analysis, danger stratification, and differential remedy of sufferers with PE are awarded in a concise, but entire demeanour. Emphasis is put on particular matters with regards to PE, together with being pregnant, melanoma, thrombophilia, and air shuttle.

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Pulmonary embolism in pregnant patients: fetal radiation dose with helical CT. Radiology 2002;224(2):487–492. 93. Huda W. When a pregnant patient has a suspected pulmonary embolism, what are the typical embryo doses from a chest CT and a ventilation/perfusion study? Pediatr Radiol 2005;25:25. 94. Kalra MK, Maher MM, Toth TL, et al. Strategies for CT radiation dose optimization. Radiology 2004; 230(3):619–628. Epub 2004 Jan 22. 95. van Erkel AR, van Rossum AB, Bloem JL, Kievit J, Pattynama PM. Spiral CT angiography for suspected pulmonary embolism: a cost-effectiveness analysis.

Whereas DVT is diagnosed in only 3% of patients considered to have low pretest probability, positive findings in objective testing are much more frequent in the moderate- (17%) and particularly in the high-probability (75%) patient group. In the initial score system published by Wells in 1997, previously documented DVT did not alter the overall score. A slightly modified score was published in 2003 by the same group (Table 1, right column), which included previously documented DVT and divided patients in only two groups, DVT-likely (score > 2) and DVTunlikely (score < 2) (7).

Am J Respir Crit Care Med 2003;167(1):39–44. 97. Paterson DI, Schwartzman K. Strategies incorporating spiral CT for the diagnosis of acute pulmonary embolism: a cost-effectiveness analysis. Chest 2001;119(6):1791–1800. 98. Quiroz R, Schoepf UJ. CT pulmonary angiography for acute pulmonary embolism: cost-effectiveness analysis and review of the literature. Semin Roentgenol 2005;40(1):20–24. 99. van Erkel AR, van den Hout WB, Pattynama PM. International differences in health care costs in Europe and the United States: Do these affect the cost-effectiveness of diagnostic strategies for pulmonary embolism?

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