Mele Donato, Cameli Matteo, Fiorencis Andrea, Galderisi Maurizio, Gallina Sabina, Innelli Pasquale, Mondillo Sergio, Montisci Roberta, Nistri Stefano, Rossi Andrea
G Ital Cardiol (Rome). 2014 Dec;15(12):685-99. doi: 10.1714/1718.18772.
Pulmonary embolism is a major health problem. Clinical presentation may vary from cardiovascular emergency with high mortality risk to mild or atypical illness, and the diagnosis is not always easy. However, the timeliness of diagnosis and prognostic stratification are crucial because immediate treatment and thromboembolic prophylaxis are highly effective. Echocardiography can play a key role in pulmonary embolism regarding different aspects: diagnosis, risk stratification, and follow-up but sometimes it is not properly used. Therefore, it is important for a physician to know exactly how to utilize echocardiography in pulmonary embolism. The purpose of this paper is to review the role of echocardiography as part of the diagnosis, management and follow-up of acute pulmonary embolism in the light of current literature.
肺栓塞是一个重大的健康问题。其临床表现可能从具有高死亡风险的心血管急症到轻度或非典型疾病不等，诊断并不总是容易的。然而，诊断的及时性和预后分层至关重要，因为立即治疗和血栓栓塞预防非常有效。超声心动图在肺栓塞的不同方面可发挥关键作用：诊断、风险分层和随访，但有时未得到正确使用。因此，医生确切了解如何在肺栓塞中利用超声心动图非常重要。本文的目的是根据当前文献综述超声心动图在急性肺栓塞的诊断、管理和随访中的作用。
