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Int J Angiol 2024; 33(02): 082-088
DOI: 10.1055/s-0044-1786878
Review Article

Clinical Presentation and Risk Stratification of Pulmonary Embolism

Abdul Qudoos Iqbal Mohammed
1   Department of Cardiology, Nassau University Medical Center, East Meadow, NY
,
Lorin Berman
1   Department of Cardiology, Nassau University Medical Center, East Meadow, NY
,
Mark Staroselsky
1   Department of Cardiology, Nassau University Medical Center, East Meadow, NY
,
Peter Wenn 
1   Department of Cardiology, Nassau University Medical Center, East Meadow, NY
,
Ofek Hai
1   Department of Cardiology, Nassau University Medical Center, East Meadow, NY
,
Amgad N. Makaryus 
1   Department of Cardiology, Nassau University Medical Center, East Meadow, NY
2   Department of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY
,
Roman Zeltser
1   Department of Cardiology, Nassau University Medical Center, East Meadow, NY
2   Department of Cardiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY
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Abstract

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.

Keywords

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


Publikationsverlauf

Artikel online veröffentlicht:
13. Mai 2024

© 2024. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 

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