How to Cite
Abstract
Pulmonary thromboembolism (PE) consists of obstruction of pulmonary arterial blood flow due to embolism of a clot from distant sites of the vasculature, mainly in the lower limbs. The true incidence, prevalence, and mortality rate are unknown.
The diagnosis is based on a series of signs and symptoms, nonspecific and common to other cardiorespiratory pathologies, up to cardiogenic shock with sudden death due to acute right ventricular failure, its diagnosis is both clinical and by imaging, laboratory methods are also used such as the D-dimer which is useful, since it gives a great negative predictive value in the diagnosis of (PE). Chest CT angiography is currently the gold standard for its diagnosis as it has a high sensitivity and specificity. Pulmonary thromboembolism (PE) consists of obstruction of pulmonary arterial blood flow due to embolism of a clot from distant sites of the vasculature, mainly in the lower limbs. The true incidence, prevalence, and mortality rate are unknown. The diagnosis is based on a series of signs and symptoms, nonspecific and common to other cardiorespiratory pathologies, up to cardiogenic shock with sudden death due to acute right ventricular failure, its diagnosis is both clinical and by imaging, laboratory methods are also used such as the D-dimer which is useful, since it gives a great negative predictive value in the diagnosis of (PE). Chest CT angiography is currently the gold standard for its diagnosis as it has a high sensitivity and specificity.
Keywords
References
Machado Villarroel, Limberth, & Dimakis Ramírez, Diamanti Abraham. Enfoque diagnóstico de la tromboembolia pulmonar. Acta médica Grupo Ángeles, (2017). 1-14.
Figueredo E , Pérez M , Reyes F , Batista Y, Peña Y . Nuevas consideraciones en el tratamiento del tromboembolismo pulmonar .Rev cubana med vol.55 no.3 Ciudad de la Habana jul.-set. 2016.
S.V. Konstantinides et al. Guía para el diagnóstico y tratamiento de la embolia pulmonar aguda, Rev española . 2020;73(6) :497.9
Uribe J, Tromboembolismo Pulmonar, Revista Médica de Costa Rica y Centroamérica LXXIII (2016) 701-706
Piñar-Abarca-Mora, Diagnóstico y manejo actualizado del tromboembolismo pulmonar agudo, Rev Med Sinergia 2021 .2-3.
Ruiz R , Péreza, López R & Montalvo A. Estudio y seguimiento del tromboembolismo pulmonar. Revista Formación Médica Continuada en Atención Primaria (2021) 273-279
Salas S, Donato. A Tromboembolismo Venoso. Diagnóstico y Manejo. Primera Parte. Revista médica de la Universidad de Costa Rica. Volumen 3, número 2, artículo 2. (2009) 1-9
Postigo, T. Mombiela, J. Bermejo y F. Fernández-Avilésa, Tromboembolismo Pulmonar, Medicine: Programa de Formación Médica Continuada Acreditado, 2021 (VII)). 2371-2378.
Blitzer R , Eisenstein S. Venous Thromboembolism and Pulmonary Embolism: Strategies for Prevention and Management. Surgical Clinics of North America Volume 101, issue 5, Oct 2021, 925-938.
Londoño D, García O. Validación de la escala pronostica PESI en pacientes con diagnostico de tromboembolia pulmonar, Revista Colombiana de Neumologia Vol 25 N° 4 (2013)196-201
Thompson T , Kabrhel C , Overview of acute pulmonary embolism in adults, Uptodate, (2021)1-30
Gorordo-Delsol LA y cols.Tromboembolia pulmonar: revisión sistemática y algoritmo diagnóstico-terapéutico . Rev Hosp Jua Mex 2015; 82(2): 105-113
Acosta R, Zayas P, Rodríguez R, Manso L, Guerrero E. Análisis clínico anatomopatológico de pacientes fallecidos con tromboembolismo pulmonar. Dic 2016 Mar 03];18(4):636-48.
República de Cuba. Ministerio de Salud Pública. Dirección de Registros Médicos y Estadísticas de Salud. La Habana, 2015.
Mann D. et al. Braunwald’s Heart Disease. Pulmonary Embolism. 2015. 10th Edition, Vol 2, Chapter 73:1664-1681. 11.
Motta-Ramírez.Diagnóstico de tromboembolia pulmonar mediante angiotomografía computada, Anales de Radiología México 2017 jul;16(3):227-250.
Kearon C, Akl EA, Comerota AJ, et al. American College of Chest Physicians. Antithrombotic therapy for VTE disease: antithrombotic therapy and prevention of thrombosis. 9th edition: American college of chest physicians evidence based clinical practice guidelines. Chest 2012;141(Suppl 2): 419-494.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2022 Array