Division of Cardiology, Department of Internal Medicine, Southern Illinois University, PO Box 19636, Springfield, IL 62794-9636, USA.
University of Michigan School of Medicine, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Interv Cardiol Clin. 2023 Jul;12(3):429-441. doi: 10.1016/j.iccl.2023.03.009.
Many patients discharged after an acute pulmonary embolism (PE) admission have inconsistent outpatient follow-up and insufficient workup for chronic complications of PE. A structured outpatient care program is lacking for the different phenotypes of chronic PE, such as chronic thromboembolic disease, chronic thromboembolic pulmonary hypertension, and post-PE syndrome. A dedicated PE follow-up clinic extends the organized, systematic care provided to patients with PE via the PERT (Pulmonary Embolism Response Team) model in the outpatient setting. Such an initiative can standardize follow-up protocols after PE, limit unnecessary testing, and ensure adequate management of chronic complications.
许多急性肺栓塞(PE)出院患者的门诊随访不一致,对 PE 的慢性并发症的检查也不充分。慢性 PE 的不同表型(如慢性血栓栓塞性疾病、慢性血栓栓塞性肺动脉高压和 PE 后综合征)缺乏结构化的门诊护理方案。专门的 PE 随访诊所通过门诊 PERT(肺栓塞反应小组)模式为 PE 患者提供有组织、系统的护理,从而扩展了这种护理。这一举措可以规范 PE 后的随访方案,限制不必要的检查,并确保对慢性并发症进行充分的管理。