Reflections on the management of suspected recent pulmonary embolism

摘要: Pulmonary Embolism (EP) remains a major challenge for the physician, despite increasingly sophisticated investigations and efficient therapeutic programs. Many reasons explain persistent difficulties: disorder crosses all specialties. A wide variety of clinical presentations has to be considered according size thrombus, coexisting conditions ("predisposing factors") prior cardio pulmonary status. Major include perfusion ventilation lung scans, angiography, invasive non deep venous system. But obvious practical limitations exist; selection most suitable test includes severity present patient condition risk an early recurrence EP; contemplated procedure if diagnosis EP is confirmed; skillfulness required selected investigation. Angiography mandatory substantial hemorrhagic exists, massive suspected, at treatment procedures are contemplated. In other cases, in absence significant pathology, scan advisable procedure; excluded normal. Previous or current pathology requires angiography. However, proof thrombosis alternative way enhance case poor considerations.