Abstract

Pulmonary embolism is the third cause of death of cardiovascular origin. In patients with clinical suspicion, the diagnosis is based on a combination of clinical probability, D-dimer measurements, and imaging tests. A computed tomography pulmonary angiogram (CT pulmonary angiogram) is the imaging technique of choice. Following the diagnostic algorithms proposed by clinical practice guidelines has been demonstrated to improve patient survival. The initial treatment of patients with acute symptomatic pulmonary embolism requires a prognostic stratification that distinguishes between patients who are low, intermediate/low, intermediate/high, and high risk. The main treatment is anticoagulation, except when there are complications or special situations.

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