Hospital Medicine

Pulmonary Vascular Disease

Questions discussed in this category

In cases of intermediate-risk pulmonary embolism, what factors influence your decision to pursue catheter-directed thrombolysis?

3 Answers available

How do you manage concurrent non-life-threatening hemoptysis and acute pulmonary embolism?

Estimating blood loss from hemoptysis is not always reliable. The bleeding may be due to the PE itself. Is anticoagulation with any degree of hemoptys...

1 Answer available

For patients with newly diagnosed VTE on IV heparin planned for transition to DOAC, would you start at the loading or maintenance DOAC dose?

If they have been on IV heparin for 3 days, for example, would you subtract those days from the recommended loading dose time?

3 Answers available

What protective post-op measures do you recommend for a patient with scleroderma and a history of ILD, PH, Raynaud’s and digital ischemia undergoing cardiothoracic surgery?

1 Answer available

Do you obtain an echocardiogram as a part of risk stratification in all patients hospitalized with an acute pulmonary embolism?

2 Answers available

How long post operatively do you wait before transitioning from parenteral anticoagulation to oral anticoagulants after pulmonary thromboendarterectomy for CTEPH?

2 Answers available

What strategies do you employ to minimize the risk of cardiovascular collapse when intubating a patient with severe pulmonary hypertension?

Do you favor awake intubation in these cases?

2 Answers available

Do you recommend transfer to an institution with a PE response team for a patient with an intermediate risk PE?

1 Answer available

Would you place an IVC filter in a patient with an acute intermediate risk PE and a proximal DVT who is on anticoagulation?

1 Answer available

Do you routinely use milrinone to augment RV function in patients with massive pulmonary emboli on vasoactive support?

1 Answer available

Do you consider extensive clot burden as a factor in determining whether patients with submassive PE may be appropriate for thrombolytic therapy?

3 Answers available

Papers discussed in this category

Radiology, 2012-10

Short-term mortality in acute pulmonary embolism: clot burden and signs of right heart dysfunction at CT pulmonary angiography.

The New England journal of medicine, 2014-04-10

Fibrinolysis for patients with intermediate-risk pulmonary embolism.

The American journal of cardiology, 2016-11-15

Relation Among Clot Burden, Right-Sided Heart Strain, and Adverse Events After Acute Pulmonary Embolism.

Chest, 1997-01

Pharmacologic hemodynamic support in massive pulmonary embolism.

Pulm Circ, 2021 Jun 14

Levosimendan, milrinone, and dobutamine in experimental acute pulmonary embolism.

Chest, 2020 Aug 11

Inferior Vena Cava Filters: Past, Present, and Future.

Respirology (Carlton, Vic.), 2018 Jul 16

Pulmonary infarction: A disease of the (mostly) young.

European heart journal. Acute cardiovascular care, 2019 Apr 24

Risk stratification in normotensive acute pulmonary embolism patients: focus on the intermediate-high risk subgroup.

JACC. Cardiovascular interventions, 2023 Oct 18

Efficacy and Safety of Anticoagulation, Catheter-Directed Thrombolysis, or Systemic Thrombolysis in Acute Pulmonary Embolism.

Circulation, 2024 Oct 29

Large-bore Mechanical Thrombectomy Versus Catheter-directed Thrombolysis in the Management of Intermediate-risk Pulmonary Embolism: Primary Results of the PEERLESS Randomized Controlled Trial.

Hospital Medicine

Pulmonary Vascular Disease

Questions discussed in this category

Papers discussed in this category

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