How Would You Treat This Patient With Pulmonary Embolism? : Grand Rounds Discussion From Beth Israel Deaconess Medical Center.
Zahir KanjeeJason A FreedBrett J CarrollEileen E ReynoldsPublished in: Annals of internal medicine (2022)
Pulmonary embolism can be acutely life-threatening and is associated with long-term consequences such as recurrent venous thromboembolism and chronic thromboembolic pulmonary hypertension. In 2020, the American Society of Hematology published updated guidelines on the management of patients with venous thromboembolism. Here, a hematologist and a cardiology and vascular medicine specialist discuss these guidelines in the context of the care of a patient with pulmonary embolism. They discuss advanced therapies such as catheter-directed thrombolysis in the short-term management of patients with intermediate-risk disease, recurrence risk stratification at presentation, and ideal antithrombotic regimens for patients whose pulmonary embolism was associated with a transient minor risk factor.
Keyphrases
- pulmonary embolism
- venous thromboembolism
- inferior vena cava
- case report
- pulmonary hypertension
- direct oral anticoagulants
- end stage renal disease
- palliative care
- atrial fibrillation
- ejection fraction
- healthcare
- risk factors
- chronic kidney disease
- clinical practice
- prognostic factors
- quality improvement
- cardiac surgery
- patient reported outcomes
- pulmonary artery
- acute kidney injury
- acute ischemic stroke
- blood brain barrier
- health insurance