Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos

Background: The prognosis of pulmonary thromboembolism (PE) is related to the cardiopulmonary reserve of the patient and the magnitude of the embolus that impacts pulmonary circulation. The presence of hemodynamic instability (shock) stratifies a group of patients with high mortality, which should b...

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Autores principales:	Aizman,Andrés, Mercado,Marcelo, Andresen,Max
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Shock, cardiogenic Thrombolysis, therapeutic Venous thromboembolism
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001100016
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spelling	oai:scielo:S0034-988720120011000162013-05-07Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticosAizman,AndrésMercado,MarceloAndresen,Max Shock, cardiogenic Thrombolysis, therapeutic Venous thromboembolism Background: The prognosis of pulmonary thromboembolism (PE) is related to the cardiopulmonary reserve of the patient and the magnitude of the embolus that impacts pulmonary circulation. The presence of hemodynamic instability (shock) stratifies a group of patients with high mortality, which should be treated with thrombolysis. Patients without shock but with right ventricular dysfunction can have a dismal evolution and should be managed aggressively. CAT scan, echocardiography and serum markers can be of value to define patients with a higher mortality. The available evidence to define the best diagnostic and therapeutic strategy is scanty, controversial and inconclusive. A good combination of clinical, imaging and biological markers should be defined to identify those patients without shock but with a high rate of complications and mortality, that could benefit from aggressive treatments.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.11 20122012-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001100016es10.4067/S0034-98872012001100016
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Shock, cardiogenic Thrombolysis, therapeutic Venous thromboembolism
spellingShingle	Shock, cardiogenic Thrombolysis, therapeutic Venous thromboembolism Aizman,Andrés Mercado,Marcelo Andresen,Max Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos
description	Background: The prognosis of pulmonary thromboembolism (PE) is related to the cardiopulmonary reserve of the patient and the magnitude of the embolus that impacts pulmonary circulation. The presence of hemodynamic instability (shock) stratifies a group of patients with high mortality, which should be treated with thrombolysis. Patients without shock but with right ventricular dysfunction can have a dismal evolution and should be managed aggressively. CAT scan, echocardiography and serum markers can be of value to define patients with a higher mortality. The available evidence to define the best diagnostic and therapeutic strategy is scanty, controversial and inconclusive. A good combination of clinical, imaging and biological markers should be defined to identify those patients without shock but with a high rate of complications and mortality, that could benefit from aggressive treatments.
author	Aizman,Andrés Mercado,Marcelo Andresen,Max
author_facet	Aizman,Andrés Mercado,Marcelo Andresen,Max
author_sort	Aizman,Andrés
title	Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos
title_short	Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos
title_full	Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos
title_fullStr	Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos
title_full_unstemmed	Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos
title_sort	tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012001100016
work_keys_str_mv	AT aizmanandres tromboembolismopulmonarestratificacionderiesgoydilemasterapeuticos AT mercadomarcelo tromboembolismopulmonarestratificacionderiesgoydilemasterapeuticos AT andresenmax tromboembolismopulmonarestratificacionderiesgoydilemasterapeuticos
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Tromboembolismo pulmonar: estratificación de riesgo y dilemas terapéuticos

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