UNIGE document Scientific Article
previous document  unige:99373  next document
add to browser collection
Title

Diagnosis of acute pulmonary embolism

Authors
Le Gal, G
Published in Journal of Thrombosis and Haemostasis. 2017, vol. 15, no. 7, p. 1251-1261
Abstract Advances in the management of patients with suspected pulmonary embolism (PE) have improved diagnostic accuracy and made management algorithms safer, easier to use, and well standardized. These diagnostic algorithms are mainly based on the assessment of clinical pretest probability, D-dimer measurement, and imaging tests-predominantly computed tomography pulmonary angiography. These diagnostic algorithms allow safe and cost-effective diagnosis for most patients with suspected PE. In this review, we summarize signs and symptoms of PE, current existing evidence for PE diagnosis, and focus on the challenge of diagnosing PE in special patient populations, such as pregnant women, or patients with a prior VTE. We also discuss novel imaging tests for PE diagnosis and highlight some of the additional challenges that might require adjustments to current diagnostic strategies, such as the reduced clinical suspicion threshold, resulting in a lower proportion of PE among suspected patients as well as the overdiagnosis of subsegmental PE.
Identifiers
PMID: 28671347
Full text
Article (Published version) (267 Kb) - document accessible for UNIGE members only Limited access to UNIGE
Structures
Research group La maladie thromboembolique veineuse (808)
Citation
(ISO format)
RIGHINI, Marc Philip, ROBERT-EBADI, Helia, LE GAL, G. Diagnosis of acute pulmonary embolism. In: Journal of Thrombosis and Haemostasis, 2017, vol. 15, n° 7, p. 1251-1261. https://archive-ouverte.unige.ch/unige:99373

57 hits

1 download

Update

Deposited on : 2017-11-22

Export document
Format :
Citation style :