Management of Low-Risk Pulmonary Embolism

Clin Chest Med. 2018 Sep;39(3):561-568. doi: 10.1016/j.ccm.2018.04.013.

Abstract

Pulmonary embolism remains a leading cause of morbidity and mortality in the United States. However, with improved recognition and diagnosis, the risk of death diminishes. The diagnosis depends on the clinician's suspicion. Pulmonary emboli are categorized into low, intermediate, or high risk based on the scoring scales and patients' hemodynamic stability versus instability. Imaging plus biomarkers help stratify patients according to risk. With the advent of the computed tomography multidetector scanners, the improved imaging has increased the detection of subsegmental and incidental pulmonary emboli. Treatment of low-risk as well as subsegmental and incidental pulmonary embolism is evolving.

Keywords: Diagnosis; Incidental PE; Low-risk PE; Medical management; Outpatient; PE risks stratification; Pulmonary embolism; Subsegmental PE.

Publication types

  • Review

MeSH terms

  • Anticoagulants / pharmacology
  • Anticoagulants / therapeutic use*
  • Humans
  • Pulmonary Embolism / pathology
  • Pulmonary Embolism / therapy*
  • Risk Factors

Substances

  • Anticoagulants