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Patients for Thrombolysis

  • Carlos Jerjes-SánchezEmail author
  • Pedro Gutierrez Fajardo

Abstract

Acute pulmonary embolism remains the third most frequent cardiovascular disease after acute coronary syndrome and stroke. Their severity related with death risk demand an expeditious approach to risk stratification and diagnosis to determine immediate treatment to reduce morbidity and mortality. Different calculation scores are available to avoid delay in clinical stratification. A careful analysis based on experience of risk factors, clinical symptoms and signs, electrocardiogram and chest X-ray findings allows for a high-clinical suspicion cardiac biomarkers and noninvasive imaging techniques are used to determine right ventricle status and pulmonary vascular obstruction, important components in choosing a treatment according to patient’s risk. Right ventricular dysfunction by image techniques and/or ventricular dysfunction biomarkers and/or acute cellular damage identify objectively high-risk patient. However, despite all technology that we have, high-clinical suspicion remains on clinical bases.

Keywords

Pulmonary embolism Risk stratification Diagnosis Noninvasive imaging Echocardiography 

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Carlos Jerjes-Sánchez
    • 1
    • 2
    • 3
    Email author
  • Pedro Gutierrez Fajardo
    • 4
  1. 1.Instituto de Cardiologia y Medicina Vascular, TEC SaludSan Pedro Garza GarciaMexico
  2. 2.Escuela de Medicina, Tecnológico de MonterreySan Pedro Garza GarciaMexico
  3. 3.Unidad de Investigacion Clinica en Medicina SCMonterreyMexico
  4. 4.Echocardiography LaboratoryHospital Bernardette, Instituto Cardiovascular de GuadalajaraJaliscoMexico

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