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October 1, 2012Southern Medical Journal

Thrombolysis in Acute Pulmonary Thromboembolism

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Key result

Thrombolysis for acute PE requires clinical, biomarker, and imaging stratification to optimize patient benefit.

Why the study?

Identifying patients at highest risk of death from acute pulmonary embolism is critical to select those who would benefit most from thrombolytic therapy.

Population

Patients with acute pulmonary embolism

Comparison

Thrombolytic therapy vs no thrombolytic therapy

Design

Review

Authors

PVP VyasAlbert Einstein College of MedicineADAnthony A. DonatoReading Hospital

Discussion

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Implication

Supports risk stratification before thrombolysis in acute PE; leaves open optimal tool validation in prospective studies.

Structured PICO

P
Population
Patients with acute pulmonary embolism (PE)
I
Intervention
Thrombolytic therapy

This review discusses the evolving role of thrombolytic therapy and risk stratification in the management of acute pulmonary embolism.

Cite This Study

Vyas et al. (2012) conducted a review in Acute pulmonary embolism. Thrombolytic therapy was evaluated. Thrombolytic therapy for acute pulmonary embolism requires careful risk stratification using clinical prediction models, serum tests, and imaging to identify patients who would benefit most.

synapsesocial.com/papers/6ab33ecce7f4978bdcc8e9d2https://doi.org/10.1097/smj.0b013e318268dbca

Topics

Pulmonary embolism
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Thrombolysis Compared With Heparin for the Initial Treatment of Pulmonary Embolism2004 · 617 citations
  2. 2Prognostic Value of Echocardiographically Assessed Right Ventricular Dysfunction in Patients With Pulmonary Embolism2004 · 315 citations
  3. 3Incremental prognostic value of troponin I and echocardiography in patients with acute pulmonary embolism2003 · 157 citations
  4. 4Guidelines on the diagnosis and management of acute pulmonary embolism2008 · 2,835 citations
  5. 5Short-Term Clinical Outcome of Patients With Acute Pulmonary Embolism, Normal Blood Pressure, and Echocardiographic Right Ventricular Dysfunction2000 · 844 citations