Clinical Presentation and Risk Stratification of Pulmonary Embolism.

deep vein thrombosis pulmonary embolism right ventricular dysfunction shock sudden cardiac arrest syncope wells score

Journal

The International journal of angiology : official publication of the International College of Angiology, Inc
ISSN: 1061-1711
Titre abrégé: Int J Angiol
Pays: United States
ID NLM: 9504821

Informations de publication

Date de publication:
Jun 2024
Historique:
pmc-release: 13 05 2025
medline: 7 6 2024
pubmed: 7 6 2024
entrez: 7 6 2024
Statut: epublish

Résumé

Pulmonary embolism (PE) presents with a spectrum of symptoms, ranging from asymptomatic cases to life-threatening events. Common symptoms include sudden dyspnea, chest pain, limb swelling, syncope, and hemoptysis. Clinical presentation varies based on thrombus burden, demographics, and time to presentation. Diagnostic evaluation involves assessing symptoms, physical examination findings, and utilizing laboratory tests, including D-dimer. Risk stratification using tools like Wells score, Pulmonary Embolism Severity Index, and Hestia criteria aids in determining the severity of PE. PE is categorized based on hemodynamic status, temporal patterns, and anatomic locations of emboli to guide in making treatment decisions. Risk stratification plays a crucial role in directing management strategies, with elderly and comorbid individuals at higher risk. Early identification and appropriate risk stratification are essential for effective management of PE. As we delve into this review article, we aim to enhance the knowledge base surrounding PE, contributing to improved patient outcomes through informed decision-making in clinical practice.

Identifiants

pubmed: 38846996
doi: 10.1055/s-0044-1786878
pii: IJA-2024-0015
pmc: PMC11152639
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

82-88

Informations de copyright

International College of Angiology. This article is published by Thieme.

Déclaration de conflit d'intérêts

Conflict of Interest None declared.

Auteurs

Abdul Qudoos Iqbal Mohammed (AQI)

Department of Cardiology, Nassau University Medical Center, East Meadow, NY.

Lorin Berman (L)

Department of Cardiology, Nassau University Medical Center, East Meadow, NY.

Mark Staroselsky (M)

Department of Cardiology, Nassau University Medical Center, East Meadow, NY.

Peter Wenn (P)

Department of Cardiology, Nassau University Medical Center, East Meadow, NY.

Ofek Hai (O)

Department of Cardiology, Nassau University Medical Center, East Meadow, NY.

Amgad N Makaryus (AN)

Department of Cardiology, Nassau University Medical Center, East Meadow, NY.
Department of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

Roman Zeltser (R)

Department of Cardiology, Nassau University Medical Center, East Meadow, NY.
Department of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

Classifications MeSH