Current approach to the diagnosis of acute nonmassive pulmonary embolism.

Abstract:

:Pulmonary embolism is a common and potentially lethal disease. Given the variable presentation and associated morbidity of this condition, an accurate and efficient diagnostic algorithm is required. Clinical pretest probability serves as the root of any diagnostic approach. We, thus, review several clinical decision rules that may help standardize this determination. Using a review of the literature, the accuracy, predictive values, and likelihood ratios for several diagnostic tests are described. The combination of these tests, based on the pretest probability of disease, can be used in a Bayesian fashion to make accurate treatment decisions. A completely noninvasive diagnostic algorithm for patients presenting with suspected acute pulmonary embolism is proposed.

journal_name

Chest

journal_title

Chest

authors

Moores LK,King CS,Holley AB

doi

10.1378/chest.10-2468

subject

Has Abstract

pub_date

2011-08-01 00:00:00

pages

509-518

issue

2

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(11)60429-7

journal_volume

140

pub_type

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