Submassive Pulmonary Embolism
Pulmonary embolism (PE) presents a spectrum of hemodynamic consequences, ranging from being asymptomatic to a life-threatening medical emergency. Management of submassive and massive PE often involves clinicians from multiple specialties, which can potentially delay the development of a unified trea...
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| Veröffentlicht in: | American journal of respiratory and critical care medicine 2018-09, Vol.198 (5), p.588-598 |
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| container_title | American journal of respiratory and critical care medicine |
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| creator | Rali, Parth M Criner, Gerard J |
| description | Pulmonary embolism (PE) presents a spectrum of hemodynamic consequences, ranging from being asymptomatic to a life-threatening medical emergency. Management of submassive and massive PE often involves clinicians from multiple specialties, which can potentially delay the development of a unified treatment plan. In addition, patients with submassive PE can deteriorate after their presentation and require escalation of care. Underlying comorbidities such as chronic obstructive pulmonary disease, cancer, congestive heart failure, and interstitial lung disease can impact the patient's hemodynamic ability to tolerate submassive PE. In this review, we address the definitions, risk stratification (clinical, laboratory, and imaging), management approaches, and long-term outcomes of submassive PE. We also discuss the role of the PE response team in management of patients with PE. |
| doi_str_mv | 10.1164/rccm.201711-2302CI |
| format | Article |
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| ispartof | American journal of respiratory and critical care medicine, 2018-09, Vol.198 (5), p.588-598 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete; American Thoracic Society (ATS) Journals Online; Alma/SFX Local Collection |
| subjects | Catheters Computed Tomography Angiography Embolectomy Embolisms Health risk assessment Humans Mortality Pulmonary arteries Pulmonary Artery - diagnostic imaging Pulmonary Artery - physiopathology Pulmonary Embolism - diagnosis Pulmonary Embolism - physiopathology Pulmonary Embolism - therapy Pulmonary embolisms Severity of Illness Index Veins & arteries Vena Cava Filters |
| title | Submassive Pulmonary Embolism |
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