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Review Article Acute Pulmonary Embolism

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Presentation on theme: "Review Article Acute Pulmonary Embolism"— Presentation transcript:

1 Review Article Acute Pulmonary Embolism
Victor F. Tapson, M.D. N Engl J Med Volume 358(10): March 6, 2008

2 Summary Acute pulmonary embolism may occur rapidly and unpredictably and may be difficult to diagnose. Treatment can reduce mortality, and appropriate primary prophylaxis is usually effective. This review focuses on the pathogenesis, diagnosis, and treatment of acute pulmonary embolism of thrombotic origin.

3 Outline Epidemiology and Pathophysiology Risk Factors
Acquired Risk Factors Genetic Disorders and Thromboembolic Risk Diagnostic Approaches Clinical Manifestations Preliminary Laboratory Testing and Pretest Probability Imaging Studies Treatment Anticoagulation Placement of a Vena Caval Filter Treatment of Massive Pulmonary Embolism Complications of Thrombolytic Therapy Prognosis Prevention Pregnancy and Acute Pulmonary Embolism Conclusions

4 Pathophysiology of Pulmonary Embolism
Tapson V. N Engl J Med 2008;358:

5 Risk Factors for Venous Thromboembolism
Tapson V. N Engl J Med 2008;358:

6 Clinical Prediction Scores for Suspected Acute Pulmonary Embolism
Tapson V. N Engl J Med 2008;358:

7 Contrast-Enhanced CT Angiograms Showing Acute Pulmonary Embolism
Tapson V. N Engl J Med 2008;358:

8 Diagnostic Approach to Suspected Acute Pulmonary Embolism
Tapson V. N Engl J Med 2008;358:

9 Treatment of Acute Pulmonary Embolism
Tapson V. N Engl J Med 2008;358:


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