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中危和高危肺栓塞:识别与管理:心脏病学临床:心脏急症。

Intermediate-Risk and High-Risk Pulmonary Embolism: Recognition and Management: Cardiology Clinics: Cardiac Emergencies.

机构信息

Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA; Center for Vascular Emergencies, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

Center for Vascular Emergencies, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA; Division of Cardiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA; Cardiac Intensive Care Unit, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

出版信息

Cardiol Clin. 2024 May;42(2):215-235. doi: 10.1016/j.ccl.2024.02.008.

Abstract

Pulmonary embolism (PE) is the third most common cause of cardiovascular death. Every specialty of medical practitioner will encounter PE in their patients, and should be prepared to employ contemporary strategies for diagnosis and initial risk-stratification. Treatment of PE is based on risk-stratification, with anticoagulation for all patients, and advanced modalities including systemic thrombolysis, catheter-directed therapies, and mechanical circulatory supports utilized in a manner paralleling PE severity and clinical context.

摘要

肺栓塞(PE)是心血管死亡的第三大常见原因。每个医学专业的从业者都会在他们的患者中遇到 PE,并且应该准备好采用当代的诊断和初始风险分层策略。PE 的治疗基于风险分层,所有患者均接受抗凝治疗,并且高级治疗方法,包括全身溶栓、导管导向治疗和机械循环支持,在方式上与 PE 的严重程度和临床情况平行使用。

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