If a patient with known submassive/massive PE develops ST elevation, this is most likely due to the PE itself. Treatment should generally focus on management of the PE.

Pulmonary infarction can result from a smaller PE, or it may occur as a large central PE breaks apart and migrates distally. In either case, pulmonary infarction usually reflects smaller pulmonary emboli – which are usually not an immediate life-threat.

Sep 5, 2019 · PE is the third leading cause of vascular mortality, after myocardial infarction and stroke. It is an enormously heterogeneous and unpredictable disease, which makes treatment difficult.

Apr 1, 2025 · A deep dive into the literature around the management of higher risk pulmonary embolism patients.

Sep 11, 2019 · Patients who are unstable due to PE should have at a minimum a dilated inferior vena cava and a dilated right ventricle. If the inferior vena cava and right ventricle aren’t dilated, consider whether another process is causing the patient’s …

Oct 6, 2021 · Venous thromboembolism (VTE), clinically presenting as DVT or pulmonary embolism (PE), is globally the third most frequent acute cardiovascular syndrome behind myocardial infarction and stroke 1. PE is a life-threatening condition and a leading cause of morbidity and mortality. It is a heterogeneous disease.

Nov 3, 2020 · The use of thrombolytics for the treatment of submassive PE is controversial — the limited documented benefit (e.g. improved hemodynamics, potential for less chronic pulmonary hypertension) must be weighed against the increased risk of life-threatening hemorrhage and the availability of other therapies (e.g. catheter-directed thrombolysis or ...

In this review, we summarize contemporary guidelines and methods for classification and risk stratification in an effort to provide tools for physicians to use in their management of patients with acute pulmonary embolisms.

Sep 10, 2019 · In this episode we explore the controversies in how to classify the hemodynamic effects of pulmonary embolisms. We also cover: -Risk Stratification -Thrombolysis -Anticoagulation -Novel therapies -The crashing & hypoxemic PE patient.

Mar 7, 2024 · The Internet Book of Critical Care is an online textbook written by Josh Farkas (@PulmCrit), an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.