Novel Risk Stratification and Hemodynamic Profiling in Acute Pulmonary Embolism: A Proposed Classification Inspired by Society for Cardiovascular Angiography and Intervention Shock Staging

Document Type

Article

Publication Date

7-1-2023

Publication Title

Interv Cardiol Clin

Abstract

Treatment options for patients with acute pulmonary embolism (PE) and right ventricular shock (RVS) have grown exponentially. Therapy options include anticoagulation, systemic thrombolysis, catheter-based thrombolysis/ thrombectomy, and may include short-term mechanical circulatory support. However, the incidence of short-term morbidity and mortality has not changed despite the emergence of several advanced therapies in acute PE. This is possibly due to the inclusion of heterogenous populations in research studies without differentiation based on the acuity/severity of presentation. We propose a novel classification for PE-RVS to allow for standardizing appropriate therapy escalation and better communication of the severity among cardiovascular critical care, and emergency health care professionals.

Medical Subject Headings

Humans; Pulmonary Embolism; Hemodynamics; Risk Assessment; Acute Disease; Angiography; Shock, Cardiogenic

PubMed ID

38964819

ePublication

ePub ahead of print

Volume

12

Issue

3S

First Page

1

Last Page

1

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