Back to Search
Start Over
Management of massive and nonmassive pulmonary embolism
- Source :
- Archives of Medical Science : AMS
- Publication Year :
- 2012
- Publisher :
- Termedia Publishing House, 2012.
-
Abstract
- Massive pulmonary embolism (PE) is characterized by systemic hypotension (defined as a systolic arterial pressure < 90 mm Hg or a drop in systolic arterial pressure of at least 40 mm Hg for at least 15 min which is not caused by new onset arrhythmias) or shock (manifested by evidence of tissue hypoperfusion and hypoxia, including an altered level of consciousness, oliguria, or cool, clammy extremities). Massive pulmonary embolism has a high mortality rate despite advances in diagnosis and therapy. A subgroup of patients with nonmassive PE who are hemodynamically stable but with right ventricular (RV) dysfunction or hypokinesis confirmed by echocardiography is classified as submassive PE. Their prognosis is different from that of others with non-massive PE and normal RV function. This article attempts to review the evidence-based risk stratification, diagnosis, initial stabilization, and management of massive and nonmassive pulmonary embolism.
- Subjects :
- thrombolysis
pulmonary embolism
anticoagulation
embolectomy
State of the Art Paper
Subjects
Details
- Language :
- English
- ISSN :
- 18969151 and 17341922
- Volume :
- 8
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Archives of Medical Science : AMS
- Accession number :
- edsair.pmid..........04ed067ce7a207464a66715e33eacb7f