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Pocket Guidelines on Acute Pulmonary Embolism

ESC Pocket Guidelines

Pulmonary Embolism
Acute Cardiac Care
Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
Pulmonary Hypertension
Venous Thromboembolism
Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure

Publication Date: 2019

Chairperson: Stavros Konstantinides & Guy Meyer

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Table of Contents

  • Tables of classes of recommendations and levels of evidence
  • What is new in the 2019 Guidelines?
  • Epidemiology and natural history
  • Predisposing factors
  • Pathophysiology and determinants of outcome
  • Diagnosis
    • Clinical presentation
    • Assessment of clinical (pre-test) probability
    • D-dimer testing
    • Imaging tests for diagnosis of pulmonary embolism
    • Echocardiography
    • Compression venous ultrasonography
      • Recommendations for diagnosis
  • Assessment of pulmonary embolism severity and the risk of early death
    • Recommendations for prognostic assessment....
  • Treatment in the acute phase
    • Haemodynamic and respiratory support
    • Initial anticoagulation
    • Reperfusion treatment
    • Multidisciplinary pulmonary embolism teams
    • Vena cava filters
      • Recommendations for acute-phase treatment of high-risk PE
      • Recommendations for acute-phase treatment of intermediate or
        low-risk PE
      • Recommendations for multidisciplinary pulmonary embolism teams
      • Recommendations for inferior vena cava filters
      • Recommendations for early discharge and home treatment
  • Integrated risk-adapted diagnosis and management
    • Diagnostic strategies
    • Treatment strategies
  • Chronic treatment and prevention of recurrence
    • Assessment of venous thromboembolism recurrence risk
    • Anticoagulant-related bleeding risk
      • Recommendations for the regimen and duration of anticoagulation
        after PE in patients without cancer
    • Management of pulmonary embolism in patients with cancer
      • Recommendations for the regimen and the duration of anticoagulation after PE in patients with active cancer
  • Pulmonary embolism and pregnancy
    • Diagnosis of pulmonary embolism in pregnancy
    • Treatment of pulmonary embolism in pregnancy
      • Recommendations for pulmonary embolism in pregnancy
  • Long-term sequelae of pulmonary embolism
    • Persisting symptoms and functional limitation
    • Chronic thromboembolic pulmonary hypertension
    • Strategies for patient follow-up after pulmonary embolism
      • Recommendations for follow-up after acute PE