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Diagnosis of pulmonary embolism

Le Gal, Grégoire
Published in La presse médicale. 2015, vol. 44, no. 12 Pt 2, p. e385-e391
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/methodsFibrin Fibrinogen Degradation Products/analysisHumansMultidetector Computed Tomography/methodsProtein MultimerizationPulmonary Embolism/diagnosis/radionuclide imaging/ultrasonographyVenous Thrombosis/ultrasonographyVentilation-Perfusion Ratio
PMID: 26585743
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Research group La maladie thromboembolique veineuse (808)
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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 https://archive-ouverte.unige.ch/unige:87939

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Deposited on : 2016-10-04

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