Submassive Pulmonary Embolism.
Am J Respir Crit Care Med. 2018 Apr 19;:
Authors: Rali PM, Criner GJ
Pulmonary Embolism (PE) presents a spectrum of hemodynamic consequences ranging from being asymptomatic to a life-threatening medical emergency. Management of sub massive and massive PE often involves clinicians from multiple specialties that can potentially delay the development of a unified treatment plan. Additionally, patients with submassive PE can deteriorate after their presentation and require escalation of care. Underlying comorbidities like chronic obstructive pulmonary disease (COPD), cancer, congestive heart failure and interstitial lung disease can impact the patient's hemodynamic ability to tolerate submassive PE. In this review, we will address the definitions, risk stratification (clinical, laboratory & imaging), management approaches and long-term outcomes of submassive PE. We will also discuss the role of the Pulmonary Embolism Response Team (PERT) to manage patients with PE.
PMID: 29672125 [PubMed - as supplied by publisher]