en
Scientific article
English

Diagnosis of pulmonary embolism

Published inLa Presse médicale, vol. 44, no. 12 Pt 2, p. e385-e391
Publication date2015
Abstract

Pulmonary embolism is the third cause of mortality by cardiovascular disease after coronary artery disease and stroke, and its incidence is around 1/1000 per year. During the last two decades, many different non-invasive diagnostic tests have been developed and validated. For hemodynamically stable outpatients, the diagnosis of acute pulmonary embolism mainly rests on the sequential use of clinical assessment, D-dimer measurement and multidetector CT. In patients with a contraindication to CT, lower limb venous ultrasonography and ventilation-perfusion scintigraphy remain valid options. Massive pulmonary embolism is a distinct clinical entity with a specific diagnostic approach. In unstable patients with suspected pulmonary embolism, echocardiography should be the initial test.

Keywords
  • Echocardiography/methods
  • Fibrin Fibrinogen Degradation Products/analysis
  • Humans
  • Multidetector Computed Tomography/methods
  • Protein Multimerization
  • Pulmonary Embolism/diagnosis/radionuclide imaging/ultrasonography
  • Venous Thrombosis/ultrasonography
  • Ventilation-Perfusion Ratio
Citation (ISO format)
RIGHINI, Marc Philip, ROBERT-EBADI, Helia, LE GAL, Grégoire. Diagnosis of pulmonary embolism. In: La Presse médicale, 2015, vol. 44, n° 12 Pt 2, p. e385–e391. doi: 10.1016/j.lpm.2015.10.007
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ISSN of the journal0755-4982
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