Skip to main content
Log in

Patients with an intermediate or high risk of a pulmonary embolism continue to pose a diagnostic challenge

  • Published:
Internal and Emergency Medicine Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Fesmire F, Kline J, Wolf S et al (2003) Clinical policy: critical issues in the evaluation and management of adult patients presenting with suspected pulmonary embolism. Ann Emerg Med 41:257–270

    Article  Google Scholar 

  2. Gallagher J (2005) Numeric instability of predictive values. Ann Emerg Med 26:311–313

    Article  Google Scholar 

  3. Kline J, Johns K, Colucciello S, Israel E (2000) New diagnostic tests for pulmonary embolism. Ann Emerg Med 35:168–180

    Article  PubMed  CAS  Google Scholar 

  4. Kline J, Nelson R, Jackson R et al (2002) Criteria for the safe use of D-dimer testing in emergency department patients with suspected pulmonary embolism: a multicenter United States study. Ann Emerg Med 39:144–152

    Article  PubMed  Google Scholar 

  5. Siragusa S (2006) D-dimer testing: advantages and limitations in emergency medicine for managing acute venous thromboembolism. Intern Emerg Med 1:59–66

    Article  PubMed  Google Scholar 

  6. Dalen J, Alpert J (1975) Natural history of pulmonary embolism. Prog Cardiovasc Dis 172:59–70

    Google Scholar 

  7. Calder K, Herbert M, Henderson S (2005) The mortality of untreated pulmonary embolism in emergency department patients. Ann Emerg Med 45:302–310

    Article  PubMed  Google Scholar 

  8. Drucker E, Rivitz S, Shepard J et al (1998) Acute pulmonary embolism: assessment of helical CT for diagnosis. Radiology 290:235–241

    Google Scholar 

  9. Wicki J, Perneger T, Junod AF et al (2001) Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score. Arch Intern Med 161:92–97

    Article  PubMed  CAS  Google Scholar 

  10. Wells P, Ginsberg J, Anderson D et al (1998) Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med 129:997–1005

    PubMed  CAS  Google Scholar 

  11. Wells P, Anderson D, Rodger M et al (2000) Derivation of a simple clinical model to categorize patients’ probability of pulmonary embolism: increasing the model’s utility with the SimpliRED D-dimer. Thromb Haemost 83:416–420

    PubMed  CAS  Google Scholar 

  12. Sanson B-J, Lijmer J, Gillavry M et al (2000) Comparison of a clinical probability estimate and two clinical models in patients with suspected pulmonary embolism. Thromb Haemost 83:199–203

    PubMed  CAS  Google Scholar 

  13. Wolf S, McCubbin T, Feldhaus K et al (2004) Prospective validation of Wells criteria in the evaluation of patients with suspected pulmonary embolism. Ann Emerg Med 44:503–510

    Article  PubMed  Google Scholar 

  14. Le Gal G, Righini M, Roy PM et al (2006) Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med 144:165–171

    PubMed  Google Scholar 

  15. Swensen S, Sheedy P, Ryu J et al (2002) Outcomes after with-holding anticoagulation from patients with suspected acute pulmonary embolism and negative computed tomographic findings: a cohort study. Mayo Clin Proc 77:130–138

    Article  PubMed  Google Scholar 

  16. Perrier A, Roy P, Sanchez O et al (2005) Multidetector-row computed tomography in suspected pulmonary embolism. N Engl J Med 352:1760–1768

    Article  PubMed  CAS  Google Scholar 

  17. van Belle A, Buller H, Huisman M et al (2006) Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. JAMA 295:172–179

    Article  PubMed  Google Scholar 

  18. Stein P, Fowler S, Goodman L et al (2006) Multidetector computed tomography for acute pulmonary embolism. N Engl J Med 354:2317–2327

    Article  PubMed  CAS  Google Scholar 

  19. Righini M, Aujesky D, Roy P et al (2004) Clinical usefulness of D-dimer depending on clinical probability and cutoff value in outpatients with suspected pulmonary embolism. Arch Int Med 164:2483–2487

    Article  Google Scholar 

  20. Burkill G, Bell J, Chinn R et al (2002) The use of a D-dimer assay in patients undergoing CT pulmonary angiography for suspected pulmonary embolus. Clin Radiol 57:41–46

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. Grant.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grant, D., Rosen, P. Patients with an intermediate or high risk of a pulmonary embolism continue to pose a diagnostic challenge. Int Emergency Med 2, 231–233 (2007). https://doi.org/10.1007/s11739-007-0065-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11739-007-0065-3

Keywords

Navigation