Acute Pulmonary Embolism
Pulmonary embolism is common, potentially lethal, and most deaths occur early. Recognition, risk stratification, and the decisions that change survival.
Pulmonary embolism spans an enormous severity range, and most clinical error lies in misplacing a patient within it. Posts here cover pre-test probability and D-dimer strategy, CT pulmonary angiography and its incidental findings, right ventricular assessment on echocardiography, and risk stratification that separates candidates for outpatient management from those needing escalation. Reperfusion is discussed across systemic thrombolysis, catheter-directed therapy and mechanical thrombectomy, alongside the role of a pulmonary embolism response team. Anticoagulant choice, treatment duration, cancer-associated disease and chronic thromboembolic pulmonary hypertension follow. Structured coverage continues in our interventional and acute care books and the diagnostic imaging series.
Pulmonary embolism is common, potentially lethal, and most deaths occur early. Recognition, risk stratification, and the decisions that change survival.