Vol 26, No 6 (2019)
Position Paper
Published online: 2020-01-22

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Expert opinion on the creating and operating of the regional Pulmonary Embolism Response Teams (PERT). Polish PERT Initiative

Aleksander Araszkiewicz1, Marcin Kurzyna2, Grzegorz Kopeć3, Marek Roik4, Szymon Darocha2, Arkadiusz Pietrasik5, Mateusz Puślecki6, Andrzej Biederman7, Roman Przybylski8, Jakub Stępniewski3, Michał Furdal9, Tatiana Mularek-Kubzdela1, Piotr Pruszczyk4, Adam Torbicki2
Pubmed: 31970735
Cardiol J 2019;26(6):623-632.

Abstract

Pulmonary Embolism Response Team (PERT) is a multidisciplinary team established to stratify risk
and choose optimal treatment in patients with acute pulmonary embolism (PE). Established for the
first time at Massachusetts General Hospital in 2013, PERT is based on a concept combining a Rapid
Response Team and a Heart Team. The growing role of PERTs in making individual therapeutic decisions
is identified, especially in hemodynamically unstable patients with contraindications to thrombolysis or
with co-morbidities, as well as in patients with intermediate-high risk in whom a therapeutic decision
may be difficult. The purpose of this document is to define the standards of PERT under Polish conditions,
based on the experience of teams already operating in Poland, which formed an agreement called
the Polish PERT Initiative. The goals of Polish PERT Initiative are: improving the treatment of patients
with PE at local, regional and national levels, gathering, assessing and sharing data on the effectiveness
of PE treatment (including various types of catheter-directed therapy), education on optimal treatment
of PE, creating expert documents and supporting scientific research, as well as cooperation with other
communities and scientific societies.

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