Risk Stratification in Patients with Acute Pulmonary Embolism: Current Evidence and Perspectives.

ABSTRACT: Risk stratification is one of the cornerstones of the management of acute pulmonary embolism (PE) and determines the choice of both diagnostic and therapeutic strategies. The first step is the identification of patent circulatory failure, as it is associated with a high risk of immediate mortality and requires a rapid diagnosis and prompt reperfusion. The second step is the estimation of 30-day mortality based on clinical parameters (e.g., original and simplified version of the pulmonary embolism severity index): low-risk patients without right ventricular dysfunction are safely managed with ambulatory anticoagulation. The remaining group of hemodynamically stable patients, labeled intermediate-risk PE, requires hospital admission, even if most of them will heal without complications. In r

SUBMITTER: Leidi A 

PROVIDER: S-EPMC9104204 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature