Vol 1, No 2 (2010)
Review paper
Published online: 2010-05-14
Guidelines for primary treatment and secondary antithrombosis prevention of pulmonary embolism
Hematologia 2010;1(2):126-135.
Abstract
Acute pulmonary embolism leads to sudden increase of pressure in pulmonary arteries and
overload of the right ventricle. The management of pulmonary embolism depends on hemodynamic
deterioration and consequent risk of death. All patients should be anticoagulated,
however, subjects with hypotonia, in shock demand immediate resolving of thromboembolic
obstruction of pulmonary arteries with thrombolysis or surgery/percutaneous embolectomy.
The duration of secondary prophylaxis is a second important problem. The assessment of the
risk of recurrent embolism is crucial and currently is based on primary reason of thromboembolic
disease and on concentration of D-dimer one month after cease of anticoagulation.
Keywords: pulmonary embolismrisk assessment of deathtreatmentsecondary prophylaxis