Med. praxi. 2023;20(3):151-156 | DOI: 10.36290/med.2023.023

Pulmonary embolism, the current approach in diagnosis and treatment

MUDr. Adam Koudelka^{1, 4}, prof. MUDr. Ondřej Ludka, Ph.D.^{1, 4}, MUDr. Michaela Habánová^{2, 4}, MUDr. Petr Lokaj, Ph.D.^{3, 4}

¹ Klinika interní, geriatrie a praktického lékařství, Fakultní nemocnice Brno

² Interní hematologická a onkologická klinika, Fakultní nemocnice Brno

³ Interní kardiologická klinika, Fakultní nemocnice Brno

⁴ Lékařská fakulta, Masarykova univerzita, Brno

Pulmonary embolism is one of the three most common emergent cardiovascular events. Concerning the related symptoms, it is always considered an urgent state of dyspnoea and chest pain. Its incidence is still increasing with the improving availability of laboratory and imaging methods. On the other hand, per case mortality is decreasing. With the introduction of direct oral anticoagulants into daily practice and the new extension of recommendations also among oncology patients, its treatment is significantly simplified. This can be useful not only in hospital treatment but especially in properly selected patients treated exclusively on an outpatient basis. In the following article, we focus on the current approach to diagnosis and treatment with an emphasis on recent guidelines.

Keywords: anticoagulation, pre­‑test probability, risk stratification, venous thromboembolism.

Accepted: June 9, 2023; Published: June 15, 2023  Show citation