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Journal Articles La Presse Médicale Year : 2015

Diagnosis of pulmonary embolism.

Abstract

Pulmonary embolism is the third cause of mortality by cardiovascular disease after coronary artery disease and stroke, and its incidence is around 1/1000 per year. During the last two decades, many different non-invasive diagnostic tests have been developed and validated. For hemodynamically stable outpatients, the diagnosis of acute pulmonary embolism mainly rests on the sequential use of clinical assessment, D-dimer measurement and multidetector CT. In patients with a contraindication to CT, lower limb venous ultrasonography and ventilation-perfusion scintigraphy remain valid options. Massive pulmonary embolism is a distinct clinical entity with a specific diagnostic approach. In unstable patients with suspected pulmonary embolism, echocardiography should be the initial test.
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hal-01276084 , version 1 (18-02-2016)

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Marc Righini, Helia Robert-Ebadi, Grégoire Le Gal. Diagnosis of pulmonary embolism.. La Presse Médicale, 2015, 44 (12 Pt 2), pp.e385-91. ⟨10.1016/j.lpm.2015.10.007⟩. ⟨hal-01276084⟩
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