Key result
Echocardiography provides immediate and accurate risk assessment of high-risk patients with acute pulmonary embolism by identifying right ventricular dysfunction to guide aggressive management.
Echocardiography is highlighted as an important tool for the diagnosis and risk stratification of acute pulmonary embolism in emergency settings.
Supports echocardiography for RV risk stratification in acute PE; leaves open prospective trials before changing practice.
Pulmonary embolism (PE) is a frequently encountered clinical condition with a high mortality rate that is affected by various factors such as age, hemodynamics, and other comorbidities. Early diagnosis and risk stratification are crucial to achieving a favorable clinical outcome. New risk stratification algorithms have been proposed in order to identify high-risk patients who will benefit from early thrombolytic treatment. Among the various validated diagnostic methods, the role of echocardiography is increasingly accepted. Recent advances in studying right ventricular function have made echocardiography an attractive tool for establishing or excluding the diagnosis of acute PE in the emergency setting and initiating optimal therapy.
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Pavlidis et al. (2013) conducted a review in Acute Pulmonary Embolism. Echocardiography was evaluated. Echocardiography provides immediate and accurate risk assessment of high-risk patients with acute pulmonary embolism by identifying right ventricular dysfunction to guide aggressive management.
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