By Paul D. Stein, MD, and Fadi Matta, MD
Read Online or Download Acute Pulmonary Embolism - Current Problems in Cardiology-Vol.35, July 2010 No. 7, p307 PDF
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Extra resources for Acute Pulmonary Embolism - Current Problems in Cardiology-Vol.35, July 2010 No. 7, p307
Am J Med 2000;109:357-61. Barro C, Bosson JL, Pernod G, et al. Plasma D-dimer testing improves the management of thromboembolic disease in hospitalized patients. Thromb Res 1999;95:263-9. Di Nisio M, Sohne M, Kamphuisen PW, et al. D-dimer test in cancer patients with suspected acute pulmonary embolism. J Thromb Haemost 2005;3:1239-42. Schrecengost JE, LeGallo RD, Boyd JC, et al. Comparison of diagnostic accuracies in outpatients and hospitalized patients of D-dimer testing for the evaluation of suspected pulmonary embolism.
The Columbus Investigators. Low-molecular-weight heparin in the treatment of patients with venous thromboembolism. N Engl J Med 1997;337:657-62. 27. Simonneau G, Sors H, Charbonnier B, et al. A comparison of low-molecularweight heparin with unfractionated heparin for acute pulmonary embolism. The THESSE Study Group. N Engl J Med 1997;337:663-9. 28. Stein PD, Beemath A, Matta F, et al. Clinical characteristics of patient with acute pulmonary embolism: data from PIOPED II. Am J Med 2007;120:871-9.
115-117,119,121 Sensitivity was higher in larger order vessels. 123 The sensitivity and specificity of MRA combined with MRV were investigated in PIOPED III (please see addendum). 82 Preliminary triage was recommended with clinical assessment and D-dimer (see section on D-dimer and clinical assessment). 75,81 A high probability clinical assessment, irrespective of the D-dimer result, or a positive D-dimer indicates that imaging is necessary. 82 In pregnant women, V/Q scans were recommended by many as the first imaging test, perhaps with venous ultrasound.