This content is machine translated From symptom to diagnosis Dyspnea – pulmonary embolism The most common symptoms include acute dyspnea, chest pain, syncope or presyncope and hemoptysis. The spectrum of clinical presentation ranges from asymptomatic patients to hemodynamic instability and shock. The clinical...…
View Post 5 min This content is machine translated Venous thromboembolism Clinical assessment and anticoagulant therapy – an update. If thromboembolism is not detected and treated in time, life-threatening consequences may result. Validated tests, such as the Wells score and the D-dimer test, can be used to assess the…
View Post 4 min This content is machine translated Pulmonary embolism Anticoagulate hemodynamically unstable patients even on suspicion Patients with pulmonary embolism require anticoagulation for a period of at least three months. Before starting therapy, several considerations must be addressed: Which anticoagulant is the most appropriate for this…
View Post 12 min This content is machine translated Subsegmental pulmonary emboli In need of therapy or clinically irrelevant? Pulmonary embolism (LE) is grouped together with deep vein thrombosis as venous thromboembolism. Whereas 50 years ago the diagnosis was usually made post-mortem or in the presence of definite clinical… CME-Test
View Post 6 min This content is machine translated Interventional treatment of pulmonary embolism Early risk stratification is crucial In patients with suspected pulmonary embolism, risk stratification is important because it guides all subsequent therapeutic decisions. High-risk patients with hemodynamic instability must be identified promptly so that systemic thrombolytic…
View Post 3 min This content is machine translated New guidelines for acute pulmonary embolism Close monitoring in patients at intermediate risk of mortality. The ESC issued new recommendations on the diagnosis and management of acute pulmonary embolism toward the end of last year [1]. The most relevant innovations compared with the 2008 version…
View Post 5 min This content is machine translated Guidelines at the ESC Congress 2014 What is different, what is new? Several new guidelines were also presented at this year’s ESC Congress in Barcelona. Enclosed is an overview of recommendations from pulmonary embolism, myocardial revascularization, hypertrophic cardiomyopathy, aortic disease, and noncardiac…
View Post 4 min This content is machine translated Cardiac markers When helpful, when misleading? The established cardiac markers BNP, NT-pro-BNP, troponins, and D-dimers are important diagnostic tools. However, they can be false-positive and thus lead to misdiagnosis. In a seminar at this year’s KHM…
View Post 2 min This content is machine translated News on pulmonary embolism at the ACC congress First randomized trial of ultrasound-assisted lysis For the first time ever, a randomized trial compares a catheter-based procedure with standard therapy for pulmonary embolism. The treatment option appears promising, according to data from the ULTIMA trial…
View Post 4 min This content is machine translated Cardiac markers When helpful, when misleading? The established cardiac markers BNP, NT-pro-BNP, troponins, and D-dimers are important diagnostic tools. However, they can be false-positive and thus lead to misdiagnosis. In a seminar at this year’s KHM…
View Post 5 min This content is machine translated Chest pain Very common, but mostly harmless The causes of chest pain are extremely varied, can affect different organ systems in the chest and – depending on the cause – are absolutely harmless or acutely life-threatening. Fortunately,…
