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[Diagnosis of pulmonary embolism].
Rev Med Brux. 1999 Jun; 20(3):147-52.RM

Abstract

A good knowledge of clinical presentation and of risk factors for pulmonary embolism is mandatory to improve adequate clinical suspicion. Some recent improvements in diagnostic strategy have to be emphasized. A low D-dimer level has a good negative predictive value to rule out pulmonary embolism. Ventilation-perfusion lung scan is the most often used imaging technique. In case of non diagnostic scan, serial non invasive search for deep vein thrombosis in the limbs is recommended by some experts at least in patients with good cardio-respiratory reserve, pulmonary angiography being recommended otherwise. Spiral CT allows direct demonstration of clots, being hardly less sensitive than pulmonary angiography except for subsegmental emboli. Future perspectives include the use of spiral CT as first choice procedure, as well as magnetic resonance imaging.

Authors+Show Affiliations

Clinique de Pneumologie, Département de Médecine, C.H.U. Brugmann, U.L.B.No affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

fre

PubMed ID

10429538

Citation

Noseda, A, and M Krzemien. "[Diagnosis of Pulmonary Embolism]." Revue Medicale De Bruxelles, vol. 20, no. 3, 1999, pp. 147-52.
Noseda A, Krzemien M. [Diagnosis of pulmonary embolism]. Rev Med Brux. 1999;20(3):147-52.
Noseda, A., & Krzemien, M. (1999). [Diagnosis of pulmonary embolism]. Revue Medicale De Bruxelles, 20(3), 147-52.
Noseda A, Krzemien M. [Diagnosis of Pulmonary Embolism]. Rev Med Brux. 1999;20(3):147-52. PubMed PMID: 10429538.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Diagnosis of pulmonary embolism]. AU - Noseda,A, AU - Krzemien,M, PY - 1999/8/3/pubmed PY - 1999/8/3/medline PY - 1999/8/3/entrez SP - 147 EP - 52 JF - Revue medicale de Bruxelles JO - Rev Med Brux VL - 20 IS - 3 N2 - A good knowledge of clinical presentation and of risk factors for pulmonary embolism is mandatory to improve adequate clinical suspicion. Some recent improvements in diagnostic strategy have to be emphasized. A low D-dimer level has a good negative predictive value to rule out pulmonary embolism. Ventilation-perfusion lung scan is the most often used imaging technique. In case of non diagnostic scan, serial non invasive search for deep vein thrombosis in the limbs is recommended by some experts at least in patients with good cardio-respiratory reserve, pulmonary angiography being recommended otherwise. Spiral CT allows direct demonstration of clots, being hardly less sensitive than pulmonary angiography except for subsegmental emboli. Future perspectives include the use of spiral CT as first choice procedure, as well as magnetic resonance imaging. SN - 0035-3639 UR - https://www.unboundmedicine.com/medline/citation/10429538/[Diagnosis_of_pulmonary_embolism]_ L2 - http://www.diseaseinfosearch.org/result/2504 DB - PRIME DP - Unbound Medicine ER -