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These data indicate that in the US, the outpatient management of patients with pulmonary embolism identified as lower-risk may continue to be underutilized.
Acute pulmonary embolism (PE) is a frequently encountered diagnosis in both the emergency department (ED) and among hospitalized patients, with increasing incidence throughout the U.S.
Background:A considerable portion of patients with embolic stroke of unknown source(ESUS)are later found to have occult atrial fibrillation (AF). Studies have shown that prolonged outpatient cardiac monitoring increases the chances of AF detection and impacts choice of antithrombotic therapy.
CT of the chest showed no pulmonary embolism but bibasilar infiltrates. (And of course Ken's comments at the bottom) An elderly obese woman with cardiomyopathy, Left bundle branch block, and chronic hypercapnea presented hypoxic with altered mental status. She was intubated. Bedside cardiac ultrasound showed moderately decreased LV function.
Introduction:Patent Foramen Ovale (PFO) contributes to a quarter of Embolic strokes of Undetermined Source (ESUS). Future efforts should focus on expanding outpatient use and increasing provider education to optimize PFO management. Stroke, Volume 56, Issue Suppl_1 , Page A61-A61, February 1, 2025.
1.38) and embolic ischemic stroke (aHR 1.15 (95% CI: 1.08-1.22).Conclusions:In This finding sets the stage for future work leveraging both outpatient and pharmacy-based claims to further explore this finding.
BACKGROUNDPatent foramen ovale (PFO) contributes to a quarter of embolic strokes of undetermined source. Future efforts should focus on expanding outpatient use and increasing provider education to optimize PFO management. Stroke: Vascular and Interventional Neurology, Ahead of Print.
The morphology of V2-V4 is very specific in my experience for acute right heart strain (which has many potential etiologies, but none more common and important in EM than acute pulmonary embolism). CT angiogram showed extensive saddle pulmonary embolism. He had multiple cardiac arrests with ROSC regained each time. This is a quiz.
He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. Bi-phasic scan showed no dissection or pulmonary embolism. His medical history is unremarkable except a similar pain occurred 4-5 times in the previous 3 months with less intensity, short duration, unrelated to exertion.
9 However, because troponin is a clear marker of disease severity and a powerful independent predictor of adverse outcomes, it may be quite useful in the ED disposition decision: if troponin is elevated, then outpatient management should be reconsidered. When cTn is elevated, is there a way to differentiate AMI from Non-AMI myocardial injury?
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