Anka Tıp Dergisi

Yazarlar: Afşın İPEKCİ

Konular:Acil Tıp

Anahtar Kelimeler:Pulmonary embolism,Hemodynamic instability

Özet: Pulmonary embolism (PE) is one of the most suspected cases in the emergency department with high mortality. The suspicion/diagnosis ratio is low in emergency departments but itsmortality is high. Diagnosis of PE is difficult because it has nonspecific clinical findings and a broad spectrum of symptoms. Judgment based on clinical experience, prediction rules, exclusion criteria, and D-dimer test are important in excluding the diagnosis. Transthoracic echocardiography and computed tomography pulmonary angiography (CTPA) are important in rapid diagnosis, especially in patients with hemodynamic instability. Ventilation / Perfusion scintigraphy is useful in patients who cannot receive BTPA and want to avoid radiation. Early risk classification of PE and rapid reperfusion therapy in unstable patients are life-saving. In this review, information about the diagnosis and management of PE, which is one of the red flags of the emergency department, is provided by the European Respiratory Society (ERS) 2019 guideline for PE.

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