Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos / Risk stratification of pulmonary thromboembolism
Rev. méd. Chile
; 140(11): 1482-1489, nov. 2012. ilus
Article
em Es
| LILACS
| ID: lil-674017
Biblioteca responsável:
CL1.1
ABSTRACT
Background:
The prognosis of pulmonary thromboembolism (PE) is related to the cardiopulmonary reserve of the patient and the magnitude of the embolus that impacts pulmonary circulation. The presence of hemodynamic instability (shock) stratifies a group of patients with high mortality, which should be treated with thrombolysis. Patients without shock but with right ventricular dysfunction can have a dismal evolution and should be managed aggressively. CAT scan, echocardiography and serum markers can be of value to define patients with a higher mortality. The available evidence to define the best diagnostic and therapeutic strategy is scanty, controversial and inconclusive. A good combination of clinical, imaging and biological markers should be defined to identify those patients without shock but with a high rate of complications and mortality, that could benefit from aggressive treatments.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Embolia Pulmonar
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2012
Tipo de documento:
Article