Russell Cody, Keshavamurthy Suresh, Saha Sibu
The American University of the Caribbean School of Medicine, Pembroke Pines, Florida.
Department of Surgery, University of Kentucky College of Medicine, Lexington, Kentucky.
Int J Angiol. 2022 Sep 2;31(3):162-165. doi: 10.1055/s-0042-1756218. eCollection 2022 Sep.
Pulmonary embolism remains a leading cause of cardiovascular mortality. Presentation and outcomes are variable among patients and require rapid risk stratification for assessment and prognosis, as well as selection of appropriate treatment. Over the past several decades, several different models and parameters have become available to assess risk and classify pulmonary embolism into different risk categories. Some patients may be candidates for early discharge or complete outpatient treatment, while some may require invasive diagnostics and intensive monitoring. In this review, we summarize contemporary guidelines and methods for classification and risk stratification in an effort to provide tools for physicians to use in their management of patients with acute pulmonary embolisms.
肺栓塞仍然是心血管疾病死亡的主要原因。患者的临床表现和预后各不相同,需要进行快速风险分层以评估病情和预后,并选择合适的治疗方法。在过去几十年中,已经有几种不同的模型和参数可用于评估风险并将肺栓塞分为不同的风险类别。一些患者可能适合早期出院或完全门诊治疗,而另一些患者可能需要侵入性诊断和强化监测。在本综述中,我们总结了当代的分类和风险分层指南及方法,以便为医生在管理急性肺栓塞患者时提供工具。