medigraphic.com
Colegio de Medicos y Cirujanos República de Costa Rica

2010, Number 594

<< Back Next >>

Rev Med Cos Cen 2010; 67 (594)

Tromboembolismo pulmonar masivo

Mayorga ZIK

Language: Spanish
References: 10
Page: 393-398
PDF size: 490.57 Kb.


ABSTRACT

The acute pulmonary embolism represents a dangerous condition with nonspecific clinical features that vary from severe to milder peripherals. The pulmonary embolism causes high morbidity and mortality in hospitalized patients. The early diagnosis and treatment will be essential to a better clinical prognosis, knowledge of associated factors such as chest pain that may mimic an acute coronary syndrome, elevated troponin levels and the association of hypotension, respiratory failure and electrocardiographic right ventricular overload are of vital importance for this. The diagnosis of this condition can be difficult, pulmonary angiography is the gold standard, but the limitation to its use makes it difficult diagnosis, the advent of low molecular weight heparin prophylaxis decreased the incidence in hospitalized patients, but for those with the disease in the outpatient setting use of thrombolytic therapy in those stratified as severe or typical it is imperative for a more favorable prognosis. We talked about the rapid medical decisions based on evidence.


REFERENCES

  1. Beemath , Afzal. Stein, Paul and cols. “Clinical Characteristics of Patients with Acute Pulmonary Embolism: Data from PIOPED II”. The American Journal of Medicine - Volume 120, Issue 10 (October 2007)

  2. Capstick T, Henry MT. “Efficacy of thrombolytic agents in the treatment of pulmonary embolismo”. Eur Respir J 26. 864-874.2005

  3. Kearon C, Kahn SR, Agnelli G, et al. “Antithrombotic therapy for venous thromboembolic disease”. Chest 133. (suppl): 454S-545S.2008

  4. Jamie L. Todd, Victor F. Tapson. “Thrombolytic Therapy for Acute Pulmonary Embolism”. Chest - Volume 135, Issue 5 (May 2009)

  5. J. M. Calvo Romero, E. M. Lima Rodríguez. “Indicadores pronósticos en el tromboembolismo pulmonar”. An. Med. Interna Madrid v.25 n.1 Madrid ene. 2008

  6. León G, Alejandro. Goméz Q, Carlos. “Tromboembolismo Pulmonar: revisión crítica de la Literatura, Basada en la Evidencia”. 2009

  7. Meltem Gulsun Akpinar, Lawrence R. Goodman. “Imaging of Pulmonary Thromboembolism”. Clinics in Chest Medicine - Volume 29, Issue 1 (March 2008)

  8. Stein, Paul D. H. Dirk Sostman, and cols. “Challenges in the Diagnosis Acute Pulmonary Embolism”. The American Journal of Medicine - Volume 121, Issue 7 (July 2008).

  9. Wells P,Ginsberg J, Anderson D, Et al. “Use of a clinical Model for safe Management of Patients with Suspected Pulmonary Embolism”. Ann Internal Medicine , 15 dic 1998 ; 129: 997-1005. (III)

  10. Wenger N.K., Stein P.D., Willis, III, IIIP.W.: Massive acute pulmonary embolism: The deceivingly nonspecific manifestations. JAMA 220. 843-844.1972.




2020     |     www.medigraphic.com