For Risk stratification 1-Hemodynamic stability If unstable.... High risk... Massive PE.. Thrombolytic therapy (medical - interventional - surgical embolectomy) If hemodynamically stable 2-RV dysfunction ( CTPA, Echo, BNP) 3-Myocardial necrosis ( troponin I&T) If both 2&3 this is intermediate high risk If either 2 or 3 this is intermediate low risk If neither 2&3 Check sPESI If 1 or more its intermediate low risk If its zero its low risk... Non Massive PE
محاضرة رائعة يا د احمد
محاضرة رائعة بجدا
In intermediate high risk better using unfractionated HMW heparin infusion
And checking RVSP if its high
Better thrombolysis to avoid CTEPH
For Risk stratification
1-Hemodynamic stability
If unstable.... High risk... Massive PE.. Thrombolytic therapy (medical - interventional - surgical embolectomy)
If hemodynamically stable
2-RV dysfunction ( CTPA, Echo, BNP)
3-Myocardial necrosis ( troponin I&T)
If both 2&3 this is intermediate high risk
If either 2 or 3 this is intermediate low risk
If neither 2&3 Check sPESI
If 1 or more its intermediate low risk
If its zero its low risk... Non Massive PE
Pdf?