Management of Deep Vein Thrombosis and Pulmonary Embolism by Jack Hirsh, and John Hoak Circulation Volume 93(12):2212-2245 June 15, 1996 Copyright © American.

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Presentation transcript:

Management of Deep Vein Thrombosis and Pulmonary Embolism by Jack Hirsh, and John Hoak Circulation Volume 93(12): June 15, 1996 Copyright © American Heart Association, Inc. All rights reserved.

Valve cusp thrombus (autopsy specimen). Jack Hirsh, and John Hoak Circulation. 1996;93: Copyright © American Heart Association, Inc. All rights reserved.

Cumulative incidence of recurrent venous thromboembolism after the first episode of symptomatic deep vein thrombosis. Jack Hirsh, and John Hoak Circulation. 1996;93: Copyright © American Heart Association, Inc. All rights reserved.

Location of venous thrombi in symptomatic outpatients. Jack Hirsh, and John Hoak Circulation. 1996;93: Copyright © American Heart Association, Inc. All rights reserved.

Diagnostic approach to deep vein thrombosis. Jack Hirsh, and John Hoak Circulation. 1996;93: Copyright © American Heart Association, Inc. All rights reserved.

Management of clinically suspected deep vein thrombosis with venous ultrasonography at presentation and on day 7. Jack Hirsh, and John Hoak Circulation. 1996;93: Copyright © American Heart Association, Inc. All rights reserved.

Diagnosis of recurrent venous thrombosis. *On venous ultrasonography; if positive in a venous segment that had been compressible on previous assessment. Jack Hirsh, and John Hoak Circulation. 1996;93: Copyright © American Heart Association, Inc. All rights reserved.

Diagnostic approach when pulmonary embolism is suspected. *Can be followed with serial venous ultrasound. +Pulmonary angiography may be preferable in a patient whose condition is unstable. xBilateral venograms could be performed initially and proceed only if results are negative. †Other combinations include low clinical probability and intermediate or indeterminant lung scans and intermediate clinical probability and low-probability lung scans. Jack Hirsh, and John Hoak Circulation. 1996;93: Copyright © American Heart Association, Inc. All rights reserved.