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Thrombolysis in Pulmonary Embolism pp 107–130Cite as

Patients for Thrombolysis

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Abstract

Acute pulmonary embolism remains the third most frequent cardiovascular disease after acute coronary syndrome and stroke. Their severity related with death risk demand an expeditious approach to risk stratification and diagnosis to determine immediate treatment to reduce morbidity and mortality. Different calculation scores are available to avoid delay in clinical stratification. A careful analysis based on experience of risk factors, clinical symptoms and signs, electrocardiogram and chest X-ray findings allows for a high-clinical suspicion cardiac biomarkers and noninvasive imaging techniques are used to determine right ventricle status and pulmonary vascular obstruction, important components in choosing a treatment according to patient’s risk. Right ventricular dysfunction by image techniques and/or ventricular dysfunction biomarkers and/or acute cellular damage identify objectively high-risk patient. However, despite all technology that we have, high-clinical suspicion remains on clinical bases.

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Authors and Affiliations

  1. Instituto de Cardiologia y Medicina Vascular, TEC Salud, San Pedro Garza Garcia, Nuevo León, Mexico

    Carlos Jerjes-Sánchez M.D., F.C.C.P., F.A.C.C. (Sistema Nacional de Investigadores, Nivel II – Clinical Research Director)

  2. Escuela de Medicina, Tecnológico de Monterrey, San Pedro Garza Garcia, Nuevo León, Mexico

    Carlos Jerjes-Sánchez M.D., F.C.C.P., F.A.C.C. (Sistema Nacional de Investigadores, Nivel II – Clinical Research Director)

  3. Unidad de Investigacion Clinica en Medicina SC, Monterrey, Nuevo León, Mexico

    Carlos Jerjes-Sánchez M.D., F.C.C.P., F.A.C.C. (Sistema Nacional de Investigadores, Nivel II – Clinical Research Director)

  4. Echocardiography Laboratory, Hospital Bernardette, Instituto Cardiovascular de Guadalajara, Jalisco, Mexico

    Pedro Gutierrez Fajardo M.D., F.A.S.E., M.E.A.C.I.

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  1. Carlos Jerjes-Sánchez M.D., F.C.C.P., F.A.C.C.
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  2. Pedro Gutierrez Fajardo M.D., F.A.S.E., M.E.A.C.I.
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Correspondence to Carlos Jerjes-Sánchez M.D., F.C.C.P., F.A.C.C. .

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Jerjes-Sánchez, C., Fajardo, P.G. (2015). Patients for Thrombolysis. In: Thrombolysis in Pulmonary Embolism. Springer, Cham. https://doi.org/10.1007/978-3-319-19707-4_4

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  • DOI: https://doi.org/10.1007/978-3-319-19707-4_4

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19706-7

  • Online ISBN: 978-3-319-19707-4

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