Pulmonary Embolic Disease: Diagnosis and Treatment

  • R. C. Bone
Part of the Developments in Critical Care Medicine and Anesthesiology book series (DCCA, volume 25)


One of the most difficult diagnoses to make in medicine today is that of pulmonary embolic disease. In a study done in the early 1970s (1), evidenee of pulmonary embolism at autopsy correlated poorly with an antemortem diagnosis of pulmonary embolie disease; in only one-third of the cases were emboli correctly identified. A batting average of .333 may be terrific for a professional baseball player, but for a physician attempting to make a diagnosis of a potential lethal disease, such a statistic is unsatisfactory (2).


Pulmonary Embolism Thrombolytic Agent Acute Pulmonary Embolism Suspected Pulmonary Embolism Pulmonary Angiogram 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Modan B., Sharon E., Jelin N.: Factors contributing to the incorrect diagnosis of pulmonary embolie disease. Chest 62:388–93, 1972PubMedCrossRefGoogle Scholar
  2. 2.
    Bone R.C. Ventilation/perfusion scan in pulmonary embolism: The emperor is incompletely attired (editorial). JAMA 263:2794–95, 1990PubMedCrossRefGoogle Scholar
  3. 3.
    Terrin M.L., and the PIOPED Investigators: Value of the ventilation/ perfusion scan in acute pulmonary embolism: Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). JAMA 263:2753–59, 1990CrossRefGoogle Scholar
  4. 4.
    Robin E.D.: Overdiagnosis and overtreatment of pulmonary embolism: The Emperor may have no clothes. Ann Intern Med 87:775–581, 1977PubMedGoogle Scholar
  5. 5.
    Hull R.D., Hirsh J., Carter C.J., et al: Diagnostic value of ventilation-perfusion lung scanning in patients with suspected pulmonary embolism. Chest 88:819–28, 1985PubMedCrossRefGoogle Scholar
  6. 6.
    Hull R.D., Hirsh J., Carter C.J., et al: Diagnostic efficacy of impedance plethysmography for clinically suspected deep-vein thrombosis. Ann Intern Med 102:21–28, 1985PubMedGoogle Scholar
  7. 7.
    Polak J.F., Culter S.S., O’Leary D.H.: Deep veins of the calf: Assessment with Doppler flow imaging. Radiol 171:481–485, 1989Google Scholar
  8. 8.
    White R.H., McGahan J.P., Daschbach M.M., Hartling R.P.: Diagnosis of deep-vein thrombosis using duplex ultrasound. Ann Intern Med 111:297–304,1989PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1992

Authors and Affiliations

  • R. C. Bone

There are no affiliations available

Personalised recommendations