The PERT Concept: A Step-by-Step Approach to Managing Pulmonary Embolism.
Chest
; 159(1): 347-355, 2021 01.
Article
em En
| MEDLINE
| ID: mdl-32758561
ABSTRACT
Pulmonary embolism (PE) is a major source of morbidity and mortality. The presentation of acute PE varies, ranging from few or no symptoms to sudden death. Patient outcome depends on how well the right ventricle can sustain the increased afterload caused by the embolic burden. Careful risk stratification is critical, and the PE response team (PERT) concept offers a rapid and multidisciplinary approach. Anticoagulation is essential unless contraindicated; thrombolysis, surgical embolectomy, and catheter-directed approaches are also available. Clinical consensus statements have been published that offer a guide to PE management, but areas remain for which the evidence is inadequate. Although the management of low-risk and high-risk patients is more straightforward, optimal management of intermediate-risk patients remains controversial. In this document, we offer a case-based approach to PE management, beginning with diagnosis and risk stratification, followed by therapeutic alternatives, and finishing with follow-up care.
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Base de dados:
MEDLINE
Assunto principal:
Embolia Pulmonar
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article