Venous and pulmonary thromboembolism: an algorithmic approach to diagnosis and management.

Abstract:

:The frequently encountered disorder of venous thromboembolism (VTE) can cause serious morbidity and even death. Nevertheless, in more than 70% of patients who die of pulmonary embolism (PE), the diagnosis is not considered before death. Thus, clinicians should have a high index of suspicion for VTE, especially in high-risk patients. Some risk factors for VTE are a recent surgical procedure and general anesthesia, immobilization, congestive heart failure, previous PE, pregnancy, and oral contraceptive use. Before therapy can be initiated, a definitive diagnosis of VTE must be established. An algorithm for assessing patients with possible VTE is presented; decisions about proceeding with various studies are based primarily on the clinician's degree of suspicion for the presence of PE and the findings on a ventilation-perfusion scan. Elevation of the patient's legs before, during, and after a surgical procedure is a simple measure that may substantially decrease the occurrence of PE.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

Rosenow EC 3rd

doi

10.1016/S0025-6196(11)64664-8

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

45-9

issue

1

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(11)64664-8

journal_volume

70

pub_type

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