Patients with acute pulmonary embolism should have an echocardiogram to guide treatment decisions

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• 作者：Amjad AlMahameed ; MD ; ^{almahaa@ccf.org} ; John R Bartholomew ; MD ^{barthoj@ccf.org}
• 刊名：Medical Clinics of North America
• 出版年：2003
• 出版时间：November 2003
• 年：2003
• 卷：87
• 期：6
• 页码：1251-1262
• 全文大小：114 K

文摘

A 62-YEAR-OLD MAN with a past medical history notable for hypertension, osteoarthritis, and calf deep vein thrombosis at age 55 following a total hip arthroplasty presents to the emergency department with acute-onset dyspnea and right-sided pleuritic chest pains. His medications consist of a calcium channel blocker and a COX-2 inhibitor. Pretest clinical suspicion for pulmonary embolism (PE) is high. Ventilation and perfusion lung scintigraphy are interpreted as being high-probability for PE. The nurse asks if a stat transthoracic echocardiogram should be ordered.