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Acute Pulmonary Embolism

by: Giancarlo Agnelli, Cecilia Becattini
N Engl J Med In New England Journal of Medicine, Vol. 363, No. 3. (1 July 2010), pp. 266-274, doi:10.1056/nejmra0907731  Key: citeulike:8693794

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Abstract

The clinical presentation of acute pulmonary embolism ranges from shock or sustained hypotension to mild dyspnea. Pulmonary embolism may even be asymptomatic and diagnosed by imaging procedures performed for other purposes. Depending on the clinical presentation, the case fatality rate for acute pulmonary embolism ranges from about 60% to less than 1%.1 Anticoagulation is the foundation of therapy for pulmonary embolism. Depending on the estimated risk of an adverse outcome, admission to an intensive care unit and treatment with thrombolysis or catheter or surgical embolectomy may be required, but early hospital discharge or even home treatment may be considered. This . . .


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