Pulmonary embolism (PE) is the most serious presentation of venous thromboembolism (VTE).
Mortality exceeds 15% during the first 3 months. In 25% of patients, first manifestation is s...
Establish a pretest probability based on clinical criteria (2).
Clinical signs and symptoms of DVT +3
Alternative diagnosis is less likely than PE +3.
Heart rate >100 +1.5
If clinical suspicion is high and no contraindications, start treatment immediately.
Start LMWH, fondaparinux, UFH, as initial therapy for first 5 to 10 days. VKA can be started the...
Provoked PE (trigger no longer present): 3 months (1)[B]
Unprovoked PE: Minimum of 3 months, consider long-term or prolonged secondary prophylaxis if bleeding r...
I26.99 Other pulmonary embolism without acute cor pulmonale
I27.82 Chronic pulmonary embolism
415.19 Other pulmonary embolism and infarction
416.2 Chronic pulmonary embolism
PE can be excluded in patients who have low pretest probability and negative D-dimer testing.
Perform cancer-oriented review of systems and age/gender-appropriate cancer screening in pa...
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