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Pearls and myths in the evaluation of patients with suspected acute pulmonary embolism


Stüssi-Helbling, Melina; Arrigo, Mattia; Huber, Lars C (2019). Pearls and myths in the evaluation of patients with suspected acute pulmonary embolism. American Journal of Medicine, 132(6):685-691.

Abstract

Significant improvement has been achieved in diagnostic accuracy, validation of probability scores, and standardized treatment algorithms for patients with suspected acute pulmonary embolism. These developments have provided the tools for a safe and cost-effective management for most of these patients. In our experience, however, the presence of medical myths and ongoing controversies seem to hinder the implementation of these tools in everyday clinical practice. This review provides a selection of such dilemmas and controversies and discusses the published evidence beyond them. By doing so, we try to overcome these dilemmas and suggest pragmatic approaches guided by the available evidence and current guidelines.

Abstract

Significant improvement has been achieved in diagnostic accuracy, validation of probability scores, and standardized treatment algorithms for patients with suspected acute pulmonary embolism. These developments have provided the tools for a safe and cost-effective management for most of these patients. In our experience, however, the presence of medical myths and ongoing controversies seem to hinder the implementation of these tools in everyday clinical practice. This review provides a selection of such dilemmas and controversies and discusses the published evidence beyond them. By doing so, we try to overcome these dilemmas and suggest pragmatic approaches guided by the available evidence and current guidelines.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiology
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > General Medicine
Language:English
Date:June 2019
Deposited On:19 Feb 2020 14:42
Last Modified:29 Jul 2020 14:43
Publisher:Elsevier
ISSN:0002-9343
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.amjmed.2019.01.011
PubMed ID:30710540

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