Vol 78, No 1 (2020)
Review paper
Published online: 2020-01-15

open access

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Where to treat patients with acute pulmonary embolism?

Piotr Pruszczyk, Stavros Konstantinides
Pubmed: 31939451
Kardiol Pol 2020;78(1):15-19.

Abstract

Acute pulmonary embolism (PE) is one of the major causes of in‑hospital mortality, and the short‑term prognosis of patients is strongly related to its hemodynamic consequences. Therefore, a stepwise risk‑stratification approach has been proposed, using a combination of clinical data, imaging, and biochemical markers to define the risk of an early adverse outcome. Patients should be managed according to PE severity: some of them require urgent primary reperfusion; for most patients, anticoagulation alone is sufficient; and selected low‑risk patients are potential candidates for early discharge and continuation of treatment on an outpatient basis. We present the current risk‑adapted approach to management strategies in acute PE.

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Polish Heart Journal (Kardiologia Polska)