Journal article
Diagnosis of pulmonary embolism.
- Righini M Geneva university hospital, faculty of medicine, department of medical specialties, division of angiology and hemostasis, Geneva, Switzerland. Electronic address: marc.righini@hcuge.ch.
- Robert-Ebadi H Geneva university hospital, faculty of medicine, department of medical specialties, division of angiology and hemostasis, Geneva, Switzerland.
- Le Gal G University of Ottawa, Ottawa hospital research institute, department of medicine, Ottawa, Canada; Université de Brest, department of internal medicine, EA 3878, CIC 1412, 29609 Brest, France.
- 2015-11-21
Published in:
- Presse medicale (Paris, France : 1983). - 2015
Echocardiography
Fibrin Fibrinogen Degradation Products
Humans
Multidetector Computed Tomography
Protein Multimerization
Pulmonary Embolism
Radionuclide Imaging
Venous Thrombosis
Ventilation-Perfusion Ratio
English
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.
- Language
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- English
- Open access status
- closed
- Identifiers
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- DOI 10.1016/j.lpm.2015.10.007
- PMID 26585743
- Persistent URL
- https://sonar.ch/global/documents/246294
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