Commented abbreviated 2014 version of ESC guidelines on the diagnosis and management of acute pulmonary embolism

Česká verzia

Authors: P. Heinc; F. Kováčik; J. Látal; J. Přeček; A. Smékal; L. Rec
Authors place of work: I. interní klinika – kardiologická LF UP a FN Olomouc
Published in the journal: Kardiol Rev Int Med 2015, 17(3): 234-244
Category: Cardiology Review

Summary

The major innovation of the current European guidelines on the diagnosis and management of acute pulmonary embolism is a new risk stratification, where the most contentious medium risk category was cancelled. According to the size of the right ventricle, function of the right ventricle and the troponin level in this group of patients has now been categorised into the groups with either high risk or low risk. According to this new categorisation, specified diagnostic methods and advanced treatment are presented, including new oral anticoagulants, thrombolysis and embolectomy. The guidelines also update the issues of pulmonary embolism in pregnancy and in connection with cancer.

Keywords:
pulmonary embolism – risk stratification – diagnostic principles – therapeutic strategies

Zdroje

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